The mother of a newborn infant calls a clinic and reports to a nurse that when cleansing the umbilical cord, the mother noticed that the cord was moist and that discharge was present. The most appropriate nursing instruction to the mother is which of the following?
  1. To increase the number of times that the cord is cleansed per day
  2. To monitor the cord for another 24 to 48 hours and to call the clinic if the discharge continues
  3. To bring the infant to the clinic
  4. That this is normal occurrence
Explanation
Answer: C - Symptoms of infection are moistness, oozing, discharge, a reddened base around the cord. If symptoms of infection occur, the mother should be instructed to notify a health care provider. If these symptoms occur, antibiotics are necessary.
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