Nokea
The nurse is giving a bath demonstration for a group of new mothers. What should be included in the demonstration?
- A. Apply baby powder generously to keep baby dry.
- B. Cleanse perineum from front to back.
- C. Use scented soap to make baby smell good.
- D. Partially submerge head in water when shampooing.
Correct Answer: B
Rationale: The perineum should be cleansed by wiping from the anterior to the posterior. Excessive use of powders and scented soaps can irritate the skin. The head should not be submerged in water.
You may also like to solve these questions
Which statement would be a correct description of colostrum?
- A. Slightly yellow and low in protein
- B. Slightly yellow and provides antibodies
- C. Creamy and high in fat and protein
- D. Colorless and high in fat and carbohydrates
Correct Answer: B
Rationale: Colostrum is slightly yellow in color and is rich in antibodies.
The nurse is caring for a newborn who was circumcised earlier in the day. What should be included in the plan of care?
- A. Administration of a topical anesthetic to the site
- B. Application of ice to stop bleeding
- C. Retraction of any remaining foreskin
- D. Observation for bleeding for the first 12 hours
Correct Answer: D
Rationale: The nurse should assess for bleeding for the first 12 hours following the circumcision. Gentle pressure should be applied to control bleeding. The administration of topical anesthetic and the retraction of the remaining foreskin are not included in the plan of care.
The postpartum mother with a third degree laceration tells the nurse she is afraid to have a bowel movement because of her painful episiotomy. What should the nurse do?
- A. Offer a suppository or enema.
- B. Encourage ambulation.
- C. Offer stool softeners as prescribed.
- D. Offer pain medication before defecating.
Correct Answer: C
Rationale: Stool softeners are available to ease the pain of defecation caused by hemorrhoids and birth trauma. Suppositories or enemas are contraindicated in mothers with third or fourth degree lacerations. Pain medications can often cause constipation. Ambulation may aid in defecation, but will not soften the stool.
What is the first secretion produced by the breast?
- A. Prolactin
- B. Colostrum
- C. False milk
- D. Whey
Correct Answer: B
Rationale: The first secretion to be produced by the breast is colostrum.
What is the appropriate way to assess the fundus of the postpartum patient?
- A. Using the side of one hand moving down from the umbilicus
- B. Using one hand over the lower segment of the uterus
- C. Using one hand pushing upward from the lower uterus
- D. Using one hand on the lower uterine segment while the other hand locates the fundus of the uterus
Correct Answer: D
Rationale: The proper way to assess the fundus of a mother who has just given birth is by placing one hand on the lower uterine segment while the other hand locates the fundus of the uterus.