Author Question: A nurse is teaching parents about prevention of diaper dermatitis. Which should the nurse include in ... (Read 109 times)

mwit1967 · **on:** Jun 27, 2018

A nurse is teaching parents about prevention of diaper dermatitis. Which should the nurse include in the teaching plan? Select all that apply.

a. Clean the diaper area gently after every diaper change with a mild soap.
b. Use a protective ointment to clean dry intact skin.
c. Use a steroid cream after each diaper change.
d. Use rubber or plastic pants over the diaper.
e. Wash cloth diapers in hot water with a mild soap and double rinse.

Question 2

A nurse is planning a parenting class for expectant parents. Which statement is true about the characteristics of a healthy family?

a. The parents and children have rigid assign-ments for all the family tasks.
b. Young families assume total responsibility for the parenting tasks, refusing any assistance.
c. The family is overwhelmed by the significant changes that occur as a result of childbirth.
d. Adults agree on the majority of basic parenting principles.

Ksanderson1296 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A, B, E
Prompt, gentle cleaning with water and mild soap (Dove, Neutrogena Baby Soap) after each voiding or defecation rids the skin of ammonia and other irritants and decreases the chance of skin breakdown and infection. A bland, protective ointment (A&D, Balmex, Desitin, zinc oxide) can be applied to clean, dry, intact skin to help prevent diaper rash. If cloth diapers are laundered at home, the parents should wash them in hot water, using a mild soap and double rinsing. Occlusion increases the risk of systemic absorption of steroid; thus steroid creams are rarely used for diaper dermatitis because the diaper functions as an occlusive dressing. Rubber or plastic pants increase skin breakdown by holding in moisture and should be used infrequently.

Answer to Question 2

D
A trait of a healthy family is that adults agree on the basic principles of parenting so that minimal discord exists. A significant stressor for families is lack of shared responsibility in the family. Lack of flexibility in parental tasks is likely to create stress and conflict. Admitting to and seeking help with problems, rather than refusing assistance, is a trait of a healthy family. Adjusting to the birth of a child is a significant change for a family. A sense of feeling overwhelmed by this change indicates that the family is not coping effectively.