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A nurse is providing teaching to a client who reports that her baby has yellow discharge forming at the circumcision site. Which of the following is an appropriate response by the nurse?

A.

"I will need to obtain a sample of the discharge for laboratory testing.".

B.

"Apply povidone-iodine solution twice daily to the circumcision site.".

C.

"Wipe the discharge away gently with a washcloth and warm water for the next 48 hours.".

D.

"The discharge is common during the first 24 to 72 hours following a circumcision.".

Answer and Explanation

The Correct Answer is D

Choice A rationale: 

The nurse does not need to obtain a sample of the discharge for laboratory testing at this  point. Yellow discharge after circumcision is common and generally not a cause for  immediate concern. Laboratory testing is not necessary for routine circumcision care. 

Choice B rationale: 

Applying povidone-iodine solution twice daily to the circumcision site is not recommended in  this situation. Povidone-iodine may cause irritation and delay the natural healing process.

Generally, no specific cleaning solution is required for circumcision care unless otherwise  indicated by a healthcare provider. 

Choice C rationale: 

Wiping the discharge away gently with a washcloth and warm water for the next 48 hours is  not the most appropriate action. The circumcision site should be kept clean and dry, but  actively wiping away the discharge may cause irritation and disrupt the natural healing  process. 


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Related Questions

Correct Answer is C

Explanation

Choice A rationale:
Preterm gestational age is not indicated by the presence of breast tissue with a flat areola and no bud. Preterm newborns may have immature breast tissue, but it does not manifest as a flat areola with no bud.

Choice B rationale:
Decreased maternal hormones during pregnancy would result in less developed breast tissue in the newborn, but it wouldn't present as a flat areola with no bud. Instead, the breast tissue may be small and less pronounced.

Choice C rationale:
Congenital anomaly refers to a birth defect or malformation that occurs during fetal development. In this case, the flat areola with no bud suggests an abnormality in the development of the breast tissue. Further assessment and evaluation may be required to determine the exact nature of the anomaly.

Choice D rationale:
Ambiguous secondary sex characteristics would involve the presence of characteristics that are not clearly male or female. The described breast tissue does not fit this category, as it is specifically described as having a flat areola with no bud, which is more indicative of a congenital anomaly.
Question 65.

Correct Answer is D,C,B,A

Explanation

The correct sequence for suctioning a newborn with a bulb syringe, according to the information provided, is as follows: 1. Compress the bulb syringe (d) to expel the air. 2. Place the bulb syringe in the newborn’s mouth © to suction the mucus. 3. Use the bulb syringe to suction the newborn’s nose (b) after the mouth has been cleared. 4. Assess the newborn for reflex bradycardia (a) following the suctioning. This sequence ensures that the airway is cleared effectively and safely, minimizing the risk of inducing bradycardia by stimulating the vagus nerve during suctioning. Always remember to perform these steps gently and to follow the guidelines and protocols of your healthcare facility.

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