A 32-year-old Guatemalan mother brings her 10-day-old infant to a clinic for a well-baby checkup. To promote healing, she has a coin taped to the infant's umbilicus. How should the nurse respond?
a. Tell the mother to remove the coin because it could cause an infection.
b. Teach the mother how to clean the coin daily and reapply it.
c. Explain to the mother that the coin is not necessary for healing.
d. Teach the mother how to apply a dry sterile dressing in place of the coin.
ANS: B
Often, folk practices are not harmful and can be added into the patient's plan of care. In the case of the coin, it should be cleaned daily to keep the area clean and free of infection. There is no reason to tell the mother to remove it.
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