A 28-year-old woman has been an insulin-dependent diabetic for 10 years. At 36 weeks' gestation, she has an amniocentesis. A lecithin/sphingomyelin (L/S) ratio test is performed on the sample of her amniotic fluid.
Since she is a diabetic, the 2:1 ratio obtained indicates that the fetus: 1. May or may not have immature lungs.
2. Has an intrauterine infection.
3. Has a neural tube defect.
4. Is at risk for hyperglycemia.
Question 2
Which instructions should the nurse include when teaching parents of a newborn about caring for the umbilical cord? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
1. Use triple-dye to cleanse the umbilical cord at home.
2. Fold the diaper down to prevent covering the cord stump.
3. Keep the umbilical stump clean and dry to avoid infection.
4. Observe for signs of infection such as foul smell, redness, and drainage.
5. Begin tub baths to help cleanse the cord stump at home.
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