A mother expresses fear about changing her infant’s diaper after he is circumcised. What does the mother need to be taught to take care of the infant when she gets home.

Correct Answer: C

Rationale: In this scenario, option C is the correct answer. The mother needs to be taught to cleanse the penis gently with water and apply petroleum jelly around the glans after each diaper change for proper care of the circumcised infant. This is essential to promote healing, prevent infection, and ensure the infant's comfort. Water is gentle and helps maintain cleanliness without causing irritation, while petroleum jelly acts as a protective barrier. Option A is incorrect because prepackaged diaper wipes may contain chemicals or fragrances that can irritate the sensitive area. Option B is incorrect as applying constant, firm pressure by squeezing the penis can be harmful and should not be done. Option D is incorrect because washing off the yellow exudate can disrupt the natural healing process and increase the risk of infection. From an educational perspective, it is crucial to emphasize the importance of gentle care, using mild products, and maintaining cleanliness without causing trauma to the area. Teaching parents the proper care techniques for a circumcised infant is essential in promoting optimal healing and preventing complications. Parents should feel confident and informed in providing care for their newborn, and education plays a key role in empowering them to do so effectively.

Correct Answer: B

Rationale: In this scenario, the correct initial action for the nurse to take when determining a boggy fundus in a postpartum client is to choose option B: massage the uterine fundus until it is firm. This intervention is crucial to prevent postpartum hemorrhage, a common complication after childbirth. By massaging the uterine fundus, the nurse helps the uterus contract, which reduces the risk of excessive bleeding. Option A, documenting the findings, is not the priority when immediate intervention is required to address a potentially life-threatening situation like postpartum hemorrhage. Option C, catheterizing the client, is not indicated unless there are specific urinary retention issues, which are not described in the question. Option D, calling the physician immediately, can be necessary after massaging the fundus if the bleeding persists or if there are other concerning signs, but it is not the initial step. Educationally, it is essential for nursing students to understand the significance of assessing and managing postpartum complications promptly. Teaching the correct techniques for uterine massage and emphasizing the importance of early intervention can help students develop critical thinking skills and clinical judgment in managing postpartum care effectively.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Postpartum hemorrhage. After giving birth to twins, the mother is at an increased risk of experiencing postpartum hemorrhage due to the delivery of multiple infants, which can lead to excessive bleeding. This complication is a primary concern in the immediate postpartum period and requires prompt assessment and intervention to prevent serious consequences. Option A) Postpartum infection is incorrect for this scenario as the question focuses on immediate postpartum complications related to childbirth, not infection risk. Option B) Increased blood pressure is not typically associated with the immediate postpartum period after giving birth to twins and is more commonly seen in conditions like preeclampsia during pregnancy. Option D) Hypoglycemia is not a common immediate postpartum concern following the birth of twins unless the mother has pre-existing diabetes or other specific risk factors. Educationally, understanding the common complications and risks associated with multiple births, such as postpartum hemorrhage, is crucial for nurses caring for postpartum mothers and newborns. Recognizing the signs and symptoms of postpartum hemorrhage and knowing how to respond promptly are essential skills to ensure the well-being of both the mother and her newborns.

Correct Answer: C

Rationale: In the context of pharmacology and nursing care of the newborn, understanding the risk factors for developing physiologic jaundice is essential for providing safe and effective care. Physiologic jaundice occurs when there is an accumulation of bilirubin in the newborn's blood, leading to yellowing of the skin and eyes. In this case, the correct answer is C) Cephalohematoma. Cephalohematoma is a collection of blood between a newborn's skull and the periosteum, often caused by birth trauma. When blood breaks down, it releases bilirubin, increasing the risk of hyperbilirubinemia and physiologic jaundice. A) Mongolian spots are benign birthmarks common in newborns of darker skin tones and do not contribute to jaundice. B) Molding refers to the shaping of the baby's head during childbirth and is not directly related to jaundice. D) Telangiectatic nevi are vascular birthmarks and do not increase the risk of physiologic jaundice. Educationally, this question highlights the importance of recognizing physical findings that may indicate an increased risk of physiologic jaundice in newborns. Nurses must be able to differentiate between normal variations and potential risk factors to provide timely interventions and prevent complications associated with jaundice.

Correct Answer: B

Rationale: In the context of nursing care of the newborn, the correct answer is B) You should prepare enough bottles for 24 hours of feedings. This is because it is essential for the mother to have an adequate supply of bottles ready to feed the newborn promptly, ensuring timely and consistent feeding schedules, which are crucial for the baby's growth and development. Option A is incorrect because heating the baby's bottle in the microwave can create hot spots in the liquid, posing a burn risk to the baby's mouth. It is safer to use a bottle warmer or warm water to heat the bottle. Option C is incorrect because bottle nipples should be chosen based on the baby's age and feeding needs. Enlarging the nipple arbitrarily can lead to feeding difficulties and potentially cause choking hazards for the infant. Option D is incorrect because the description of the baby's stools appearing bright yellow and smelling like sour milk is more indicative of breastfed infants due to the composition of breast milk, not formula-fed babies. Educationally, it is crucial to emphasize the importance of proper bottle preparation, storage, and feeding techniques to ensure the newborn's well-being and proper nutrition. Encouraging mothers to plan and prepare an adequate supply of bottles in advance can help establish a smooth feeding routine and promote bonding between the mother and the newborn.