How should bathing be performed for a newborn with an umbilical stump?

• A. Sponge baths only until stump falls off; avoid immersing in bath water
• B. Immerse in bath water daily
• C. Submerge stump in water after every feeding
• D. Avoid bathing altogether for 2 weeks

Answer: (B)

The main idea here is to protect the umbilical stump while it heals. For a newborn with a stump, bathing is done with sponge baths only, avoiding immersion in bath water until the stump has fallen off and the area is healed. Keeping the stump dry minimizes the chance of infection and irritation and helps it dry out and detach normally. During bath time, use warm, clean water and a gentle washcloth to clean the baby’s face, hands, neck, and diaper area, but do not scrub or soak the stump. Gently pat the area dry and keep the diaper folded down to prevent moisture from reaching the stump. There’s no need for alcohol or antiseptics unless a clinician has directed it. Once the stump detaches and healing is complete, you can resume regular baths. Watch for signs of infection such as redness, discharge, foul odor, warmth, or fever and seek care if they occur.