What is the recommended approach to caring for the umbilical cord stump in the newborn?

• A. Submerge in water for daily baths
• B. Keep clean and dry; sponge baths until the stump falls off; avoid submersing in water until it dries
• C. Apply alcohol daily
• D. Apply ointment and keep moist

Answer: (B)

Keeping the umbilical cord stump clean and dry is essential. Until it falls off, give sponge baths rather than full baths, and keep the stump dry by patting it gently and avoiding rubbing. Submerging the stump in water can keep the area moist, which increases the risk of infection and can delay drying. Routine cleansing with alcohol or applying ointments isn’t necessary—clean water and gentle drying are sufficient. To help keep the area dry, position the diaper folded below the stump. Monitor for signs of infection such as redness at the base, foul drainage, swelling, or fever, and contact a clinician if these occur. Once the stump falls off, regular bathing can resume.