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A nurse is providing newborn discharge teaching to a client whose newborn recently had a circumcision done in the hospital.

Exhibits

Which of the following statements should the nurse include when providing discharge teaching for the parent about circumcision care? For each statement made by the nurse, click to specify whether the statement is essential or contraindicated.

A.

“The glans penis will appear red and have a yellow crust as it heals. Do not remove this.”

B.

“Ensure the diaper is really tight to keep the gauze attached to the penis.”

C.

“Notify your pediatrician if your baby has not voided in 24 hours.”

D.

“Coat the glans penis with petroleum jelly and cover with gauze.”

E.

“Check for bleeding every 4 hours for the first 24 hours and notify your pediatrician if there is bleeding at the circumcision site.”

Answer and Explanation

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

  1. “The glans penis will appear red and have a yellow crust as it heals. Do not remove this.”
    • Essential: This is a normal part of the healing process.
  2. “Ensure the diaper is really tight to keep the gauze attached to the penis.”
    • Contraindicated: The diaper should be loose to avoid pressure on the circumcision site.
  3. “Notify your pediatrician if your baby has not voided in 24 hours.”
    • Essential: This could indicate a problem that needs medical attention.
  4. “Coat the glans penis with petroleum jelly and cover with gauze.”
    • Essential: This helps prevent the diaper from sticking to the circumcision site and aids in healing.
  5. “Check for bleeding every 4 hours for the first 24 hours and notify your pediatrician if there is bleeding at the circumcision site.”
    • Essential: Monitoring for bleeding is crucial to ensure there are no complications.


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Related Questions

Correct Answer is A

Explanation

Choice A rationale

Given the neonate’s symptoms and critically low blood glucose level (30 mg/dL), the most urgent action is to address the hypoglycemia. Therefore, the nurse shouldadminister a bolus of intravenous glucose (Option A). This immediate intervention is crucial to stabilize the neonate and prevent further complications associated with hypoglycemia.

Choice B rationale

While monitoring blood glucose levels is important, waiting 30 minutes to reassess without immediate intervention could allow the hypoglycemia to worsen, potentially leading to severe complications such as seizures or brain damage. Immediate treatment is necessary to stabilize the neonate..

Choice C rationale

Although feeding can help increase blood glucose levels, the neonate’s current symptoms (jitteriness, poor feeding, weak cry, and irritability) suggest that they may not be able to effectively feed. Additionally, the blood glucose level is critically low and requires more rapid correction than feeding alone can provide..

Choice D rationale

While maintaining an appropriate body temperature is important, the neonate’s temperature (36.1°C) is not critically low. The primary concern here is the hypoglycemia, which needs to be addressed immediately. Placing the neonate under a radiant warmer does not directly address the low blood glucose level..

Correct Answer is C

Explanation

Choice A rationale

Faint red marks on the plantar surface are more common in preterm infants and are not typically seen in post-term infants.

Choice B rationale

Copious vernix is usually seen in preterm infants. Post-term infants often have little to no vernix.

Choice C rationale

Dry, cracked skin is a common finding in post-term infants due to prolonged exposure to the amniotic fluid.

Choice D rationale

Scant scalp hair is more common in preterm infants. Post-term infants usually have more developed hair.

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