The nurse is reviewing the treatment plan with the parents of a newborn with hypospadias. Which statement should the nurse include in the teaching when describing this disorder?
"Circumcision will be delayed to save tissue for the surgical repair."
"Emergency surgical repair will be necessary to restore normal function."
"Your child's urethral opening is located on the top of the penis."
"Your child's testicles have not descended into the scrotal sac."
The Correct Answer is A
A. Circumcision is often delayed in newborns with hypospadias because the foreskin may be needed for the surgical repair of the urethra.
B. While surgery is necessary, it is not typically an emergency; it is planned and performed later in infancy.
C. In hypospadias, the urethral opening is located on the underside (ventral side) of the penis, not the top.
D. Undescended testicles (cryptorchidism) are a separate condition from hypospadias.
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Related Questions
Correct Answer is B
Explanation
A. Polyuria is not commonly associated with heart failure in infants; they are more likely to have oliguria or reduced urine output.
B. Difficulty feeding is a common sign of heart failure in infants because the increased work of breathing and poor cardiac output make it hard for them to feed effectively.
C. Bradycardia is not typically associated with heart failure; tachycardia is more common as the heart tries to compensate for decreased cardiac output.
D. Bradypnea is uncommon in heart failure; tachypnea is a more likely symptom due to fluid overload and poor oxygenation.
Correct Answer is B
Explanation
. While pain management is important, the primary treatment for pyloric stenosis is surgical correction, not just analgesic medication.
B. Preparation for surgical correction, specifically a pyloromyotomy, is the standard treatment for pyloric stenosis to relieve the obstruction.
C. A barium enema is not used in the diagnosis or treatment of pyloric stenosis; it is typically used to diagnose other gastrointestinal conditions.
D. Thickened feedings with rice cereal are not indicated for pyloric stenosis and would not resolve the obstruction.
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