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 B

Explanation

The correct answer is choice B. She works as a part-time oncology nurse.This is because oncology nurses are exposed toteratogenic agents, which are substances that can cause abnormalities in an exposed fetus.Teratogenic agents can cross the placenta and alter fetal morphology or function.Examples of teratogenic agents are lead, methyl mercury, polychlorinated biphenyls, lithium, vitamin K antagonists, tobacco, rubella, cytomegalovirus, ionizing agents, hyperthermia, diabetes, and some drugs.

Choice A is wrong because living with two dogs at home does not pose a high risk for exposure to teratogenic agents.Dogs can be beneficial for pregnant women as they provide companionship and exercise.

Choice C is wrong because being a lacto-ova vegetarian does not pose a high risk for exposure to teratogenic agents.Lacto-ova vegetarians can get adequate nutrition from plant-based foods, dairy products, and eggs.

Choice D is wrong because commuting to work on a train does not pose a high risk for exposure to teratogenic agents.Trains are a safe and convenient mode of transportation for pregnant women.

A. Manually express colostrum as necessary. B. Apply hot compresses to the breasts. C. Massage the breast tissue surrounding the areola. D. Wear a supportive bra.

Correct Answer is D

Explanation

The correct answer is choice D. Wear a supportive bra.This will help suppress lactation and reduce the discomfort of engorgement.

The other choices are wrong because:

• Choice A. Manually express colostrum as necessary.This will stimulate milk production and prolong engorgement.

• Choice B. Apply hot compresses to the breasts.This will increase blood flow and swelling in the breasts and worsen engorgement.

• Choice C. Massage the breast tissue surrounding the areola.This will also stimulate milk production and prolong engorgement.

Normal ranges for breast engorgement are not applicable as it is a subjective experience that varies among women.However, some signs of engorgement include firm, tender, swollen breasts, flat or inverted nipples, and low-grade fever.Engorgement usually resolves within 24 to 36 hours after it begins.

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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

A patient comes to the antepartal clinic for her visit and provides the nurse with information. What piece of information places this patient at high risk for exposure to teratogenic agents?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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