A baby boy is circumcised on the day of discharge. Which observation should the nurse make prior to the infant’s discharge?.

The time and amount of the first post-procedure voiding.

The erectile ability of the penis.

The position of the urethral opening on the penis.

The presence of a small amount of white-yellow exudate around the glans tissue.

Answer and Explanation

The Correct Answer is A

This is because circumcision is a surgical procedure that involves cutting off the foreskin of the penis, which may affect the urinary function of the baby. The nurse should make sure that the baby can urinate normally and without pain after the circumcision.

The amount of urine should be adequate for the baby’s weight and hydration status.

Choice B is wrong because the erectile ability of the penis is not affected by circumcision and is not a priority for discharge planning.

Choice C is wrong because the position of the urethral opening on the penis is not related to circumcision and should be assessed at birth, not at discharge.

Choice D is wrong because the presence of a small amount of white-yellow exudate around the glans tissue is normal and expected after circumcision. It is part of the healing process and does not indicate infection. The nurse should instruct the parents on how to care for the circumcised penis and when to seek medical attention if there are signs of complications.

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Correct Answer is D

Explanation

The correct answer is choice D. It will be necessary for a Cesarean section when labor begins.This is because a pregnant person with herpes simplex virus (HSV) type II can pass the infection to the baby during childbirth, which can be life-threatening.A Cesarean section can lower the risk of infection by avoiding contact with the virus in the genital area.

Choice A is wrong because herpes can recur after delivery, especially if the person has a history of genital herpes before pregnancy.Choice B is wrong because weekly cultures of the herpes site are not recommended during pregnancy, as they are not reliable indicators of viral shedding or risk of transmission.Choice C is wrong because it is possible to have more than one herpes outbreak during pregnancy, especially if the person has a primary or nonprimary first-episode infection in the third trimester.

A. Forceps-assisted second stage of labor. B. Precipitous delivery. C. Prolonged first phase of labor. D. Cesarean delivery.

Correct Answer is D

Explanation

The correct answer is choice D. Cesarean delivery.A pregnant patient with genital herpes is at higher risk of transmitting the infection to the baby during vaginal delivery, especially if there is an active outbreak near the time of birth.This can cause serious complications for the baby, such as brain damage, eye problems, or even death.Therefore, a cesarean delivery is recommended to avoid contact between the baby and the genital lesions.

Choice A is wrong because forceps-assisted second stage of labor is not a complication of genital herpes.

It is a method of assisted delivery that may be used for various reasons, such as fetal distress, maternal exhaustion, or abnormal presentation.

Choice B is wrong because precipitous delivery, which means a very fast labor and delivery, is not a complication of genital herpes.

It may be caused by factors such as multiparity, strong contractions, or previous rapid deliveries.

Choice C is wrong because prolonged first phase of labor, which means a slow dilation of the cervix, is not a complication of genital herpes.

It may be caused by factors such as ineffective contractions, large fetal size, or malposition.

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A baby boy is circumcised on the day of discharge. Which observation should the nurse make prior to the infant’s discharge?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

When a pregnant patient has genital herpes, for which complication is the patient at higher risk than the general population?

Correct Answer is D

Explanation

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