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When teaching parents about how to care for their newborn's umbilical cord, a nurse should include which of the following nursing interventions?

a) Applying antibiotic ointment to the base of the cord

b) Keeping the diaper folded below the cord stump

c) Cleaning the cord with alcohol at each diaper change

d) Allowing the cord stump to air dry

1 Answer

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Final answer:

The correct nursing intervention includes keeping the diaper folded below the cord stump to promote healing and prevent irritation. Antibiotic ointment is not commonly applied and alcohol is less frequently used for cleaning. Proper care is crucial for preventing infection and ensuring the stump dries and falls off naturally.

Step-by-step explanation:

When teaching parents about caring for their newborn's umbilical cord, a nurse should include specific nursing interventions. The proper care involves keeping the area around the umbilical cord stump clean and dry to prevent infection and facilitate the natural healing process.

The most accurate intervention from the options presented is: b) Keeping the diaper folded below the cord stump. This action helps prevent the diaper from rubbing against the stump and also allows airflow to the area, which promotes drying and healing. Practices such as allowing the cord stump to air dry are also encouraged. Historically, cleaning the cord with alcohol at each diaper change was recommended, but this is now less commonly advised as evidenced by current pediatric guidelines. The use of antibiotic ointment is not routinely suggested unless prescribed by a healthcare provider for a specific reason.

Additionally, it's important to avoid submerging the newborn in water until the umbilical cord stump has fallen off and the navel is fully healed. Instead, sponge baths should be given. Parents should also be instructed to contact a healthcare provider if they notice any signs of infection at the site of the umbilical stump, such as redness, swelling, or discharge.

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