Nokea
What should be included when discussing the care of a circumcised infant after discharge from the hospital?
- A. Gently remove the yellow exudate from the foreskin.
- B. Apply sterile petroleum gauze after each diaper change.
- C. Wipe the circumcision with alcohol each day.
- D. Avoid the use of cloth diapers until the foreskin has healed.
Correct Answer: B
Rationale: Wash the penis at diaper change and apply sterile petroleum gauze. The yellow exudate should not be removed as it is part of the normal healing process. The circumcised area should be cleansed gently, not with alcohol. Cloth diapers are sometimes recommended to promote healing.
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The new mother has decided not to breastfeed the baby. How should the nurse correctly instruct the mother to suppress her milk supply?
- A. Pump the breasts to remove milk
- B. Apply warm moist compresses
- C. Restrict oral fluids
- D. Apply a firm bra and ice packs
Correct Answer: D
Rationale: If a patient is not breastfeeding, compress the breasts with a firm bra and wrapped ice packs to suppress the milk supply. Pumping the breasts and applying warm, moist compresses are instructions for the breast-feeding mother to deal with the painful symptoms of engorgement.
The nurse describes the return of the postpartum patient's uterus to a pregravid state as ___.
Correct Answer: involution
Rationale: Involution is the decrease in size of the uterus to a prepregnant state.
A new mother had spinal anesthesia during a cesarean delivery. She now has a desire to void and can wiggle her toes. What should be the nurse's response when the mother asks to go the bathroom?
- A. Assess her blood pressure.
- B. Obtain a wheelchair.
- C. Palpate her bladder.
- D. Put slippers on her feet.
Correct Answer: D
Rationale: The nurse should check that the mother is wearing slippers to ensure better footing. If the mother has a desire to void and can move her toes, there is no need for her to remain bedridden.
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.
Which tests are performed to detect inborn errors of metabolism in the newborn?
- A. Blood glucose
- B. Phenylketonuria (PKU)
- C. Blood urea nitrogen (BUN)
- D. Prothrombin time (PT)
Correct Answer: B
Rationale: State law requires certain diagnostic tests be performed on the newborn, including PKU, which detects an inborn error of metabolism.