A mother expresses fear about changing her infant's diaper after he is circumcised with a clamp procedure.
What does the woman need to be taught to take care of the infant when she gets home?

Apply constant firm pressure by squeezing the penis with the fingers for at least 5 minutes if bleeding occurs.

Cleanse the penis gently with water and put petroleum jelly around the glans after each diaper change.

Cleanse the penis with prepackaged diaper wipes every 6 hours.

Wash off the yellow exudate that forms on the glans at least once every day to prevent infection.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Applying constant firm pressure to the penis for five minutes if bleeding occurs is an appropriate initial intervention for bleeding after a circumcision. However, it does not address the routine care needed after each diaper change to promote healing and prevent infection.

Choice B rationale

Cleansing the penis gently with water after each diaper change removes urine and stool, preventing irritation and potential infection. Applying a thin layer of petroleum jelly around the glans helps to keep the diaper from sticking to the healing circumcision site, reducing discomfort and promoting healing.

Choice C rationale

Prepackaged diaper wipes often contain fragrances and alcohol, which can irritate the sensitive skin of a newly circumcised penis and potentially delay healing or cause discomfort. Gentle cleansing with water is preferred.

Choice D rationale

The yellow exudate that forms on the glans after circumcision is a normal part of the healing process, known as granulation tissue. It should not be washed off, as this can disrupt healing and increase the risk of infection. It will typically disappear on its own over a few days.

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Correct Answer is B

Explanation

Choice A rationale

Placenta previa is a condition where the placenta implants in the lower part of the uterus, potentially covering the cervix. It typically presents with painless vaginal bleeding, especially in the later trimesters, and is not directly associated with sudden, intense abdominal pain and cessation of contractions during labor.

Choice B rationale

Uterine rupture is a serious complication of vaginal birth after cesarean (VBAC), especially with strong, frequent contractions. The sudden onset of intense abdominal pain and the cessation of contractions, along with fetal distress indicated by the absent fetal heart rate tracing, are classic signs of uterine rupture. The prior cesarean scar weakens the uterine wall, making it susceptible to tearing under the stress of labor.

Choice C rationale

A prolapsed umbilical cord occurs when the cord descends into the vagina ahead of the presenting part, potentially compressing the fetal blood vessels and causing fetal distress. While fetal heart rate abnormalities would be present, it is not typically associated with sudden, intense maternal abdominal pain and cessation of contractions.

Choice D rationale

Abruptio placentae is the premature separation of the placenta from the uterine wall. It can cause sudden abdominal pain, vaginal bleeding (though not always), and fetal distress. However, the cessation of uterine contractions is not a typical finding in abruptio placentae. Contractions may continue, although they might be accompanied by increased uterine tone.

A. Weight loss B. Hypotension C. Dysuria D. Tachycardia

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

Rationales for Each Condition

Hyperemesis Gravidarum

Weight loss: Excessive vomiting leads to poor nutritional intake and dehydration, causing unintended weight loss. The normal weight gain expected in the first trimester of pregnancy is around 0.5–2 kg. A weight loss of 0.9 kg in two weeks is concerning.
Hypotension: Dehydration due to persistent vomiting causes reduced intravascular volume, leading to low blood pressure. Normal blood pressure ranges from 90/60 mm Hg to 120/80 mm Hg. The client's 96/52 mm Hg value indicates potential volume depletion.
Tachycardia: Fluid loss and electrolyte imbalances increase heart rate as a compensatory mechanism to maintain perfusion. The normal heart rate ranges from 60–100 bpm, and the client's 116 bpm suggests dehydration-related tachycardia.

Cystitis

Dysuria: Inflammation of the bladder due to infection causes pain or burning during urination, a classic symptom of cystitis. The absence of other urinary symptoms, such as urgency or hematuria, helps differentiate cystitis from other conditions.

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A mother expresses fear about changing her infant's diaper after he is circumcised with a clamp procedure.What does the woman need to be taught to take care of the infant when she gets home?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is caring for a 26-year-old female client who is at 14 weeks of gestation in the antepartum clinic. Exhibits For each assessment finding, click to specify if the finding is consistent with hyperemesis gravidarum or cystitis. Each finding may support more than one pregnancy complication.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}

Explanation

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A mother expresses fear about changing her infant's diaper after he is circumcised with a clamp procedure.
What does the woman need to be taught to take care of the infant when she gets home?