The nurse is teaching the parents of a female baby how to change a baby's diapers. Which of the following should be included in the teaching?
a. Always wipe the perineum from front to back.
b. Remove any vernix caseosa from the labia folds.
c. Put powder on the buttocks every time the baby stools.
d. Weigh every diaper in order to assess for hydration.
ANS: a
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a. To decrease risk of infection from bacteria from the rectum, the perineum of female babies should always be cleansed from front to back.
b. Vernix is a natural lanolin that will be absorbed over time. Actively removing the vernix can irritate the baby's skin.
c. Powder is not recommended for use on babies. When mixed with urine, powders can produce an irritating paste.
d. The number of wet diapers per day should be counted to assess hydration, but weighing diapers of full-term, healthy neonates is not necessary.
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