HESI PN MATERNITY

A new father asks the practical nurse (PN) why ointment is instilled into the eyes of his newborn infant. Which infection should the PN identify when describing the purpose of this treatment? a. Herpes b. Staphylococcus c. Gonorrhea d. Syphilis C) Gonorrhea Rationale: Erythromycin ointment is instilled into the lower conjunctiva of each eye within 2 hours after birth to prevent ophthalmia neonatorum, an infection caused by gonorrhea, and inclusion conjunctivitis, an infection caused by Chlamydia. The nurse is taking the temperature of a client who is 6 hours postpartum. The nurse notes that the client’s temperature is 38° C (100.4° F). Which intervention should the nurse implement? a. Encourage fluids to increase hydration. b. Recheck the temperature in 15 minutes. c. Place an ice pack on the client’s forehead. d. Obtain a prescription for acetaminophen. A) Encourage fluids to increase hydration. Rationale: It is normal for the postpartum client to have a temperature up to 38° C (100.4° F) because of dehydration caused by labor. The most appropriate intervention is to encourage fluids to rehydrate the patient.