Review Circumcision care

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Circumcision care

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Total Questions : 4

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Question 1:

A nurse is caring for a newborn who has just undergone circumcision using the Gomco clamp method.

What should the nurse do to prevent the diaper from sticking to the penis?

A. Apply petroleum jelly with each diaper change for at least 24 hours B. Apply a sterile dressing with each diaper change for at least 48 hours C. Apply a thin layer of antibiotic ointment with each diaper change for at least 72 hours D. Apply a cold compress with each diaper change for at least 96 hours

Answer and Explanation

Choice A:

Apply petroleum jelly with each diaper change for at least 24 hours.This will prevent the diaper from sticking to the penis and causing irritation or infection.The Gomco clamp method involves using a steel bell that protects the glans penis during the circumcision and does not leave any foreign body at the site afterwards.

Choice B:

A sterile dressing is not necessary and may interfere with the healing process.

Choice C:

Antibiotic ointment is not recommended and may cause allergic reactions or resistance.

Choice D:

Cold compresses are not effective and may cause discomfort or tissue damage

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Question 2:

A nurse is teaching a new mother about circumcision care at home.

What should the nurse include in the teaching? (Select all that apply.)

A. Avoid tub baths until the circumcision heals completely B. Observe for signs of bleeding, infection or delayed healing C. Seek medical attention if signs of complications are present D. Pull back the remaining foreskin gently to clean the penis daily E. Give oral sucrose solution before each diaper change for pain relief

Answer and Explanation

Choice A:

Tub baths are not harmful for circumcision healing. According to wikiHow, sponge baths are recommended for newborns, but older children or adolescents may shower or take a tub bath for comfort.

Choice B:

The nurse should include in the teaching that the mother should observe for signs of bleeding, infection or delayed healing, and seek medical attention if signs of complications are present. These are important steps to prevent and treat any possible problems after circumcision.

Choice C:

Choice D:

Pulling back the remaining foreskin can cause pain and bleeding. The foreskin should be left alone until it heals completely. According to Verywell Family, skin adhering to the glans can cause penile adhesion and may require surgery.

Choice E:

Oral sucrose solution is not an effective pain relief for circumcision. According to Mayo Clinic, oral sucrose solution may help reduce crying during minor procedures, but it does not reduce pain signals in the brain or spinal cord. Other methods of pain relief, such as acetaminophen, topical anesthetic cream or a pacifier dipped in sugar water, may be more helpful.

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Question 3:

A nurse is assisting the practitioner with a circumcision using the Mogen clamp method.

What should the nurse do during the procedure?

A. Comfort and maintain the newborn’s safety by holding his hands and legs securely B. Monitor the newborn’s vital signs and oxygen saturation continuously. C. Apply a topical anesthetic cream to the penis 30 minutes before the procedure. D. Provide oral sucrose solution to the newborn using a pacifier or syringe

Answer and Explanation

Choice A:

Comfort and maintain the newborn’s safety by holding his hands and legs securely.This is because the Mogen clamp method does not directly protect the glans during the procedureand requires the safe placement of the clamp to avoid injuring the glans.

Therefore, the nurse should help immobilize the newborn and prevent any sudden movements that could cause harm.

Choice B:

Monitoring the newborn’s vital signs and oxygen saturation continuously is not necessary for this procedure.The Mogen clamp method is fast and does not leave a foreign body at the circumcision site.

Choice C:

Applying a topical anesthetic cream to the penis 30 minutes before the procedure is not effective for pain relief.The Mogen clamp method requires local anesthesia, such as lidocaine injection or dorsal penile nerve block.

Choice D:

Providing oral sucrose solution to the newborn using a pacifier or syringe is not sufficient for pain management.The Mogen clamp method requires local anesthesia, such as lidocaine injection or dorsal penile nerve block.Oral sucrose solution can be used as an adjunctive measure, but not as a sole intervention.

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Question 4:

The nurse has just assisted with a circumcision using a Plastibell device and notices that there is a yellowish exudate on the glans penis of an infant on his second day after circumcision.

The nurse should:

A. Notify the physician immediately B. Gently wash off this exudate with warm water C. Recognize this as an expected finding D. Apply an antibiotic ointment

Answer and Explanation

Choice A:

Notifying the physician immediately is not necessary unless there are signs of infection or complications.

Choice B:

Washing off the exudate with warm water may remove the protective layer of tissue that forms over the glans penis and cause bleeding or pain.

Choice C:

The yellowish exudate on the glans penis of an infant on his second day after circumcision is a normal sign of healing and does not indicate infection.

It should not be washed off or treated with antibiotic ointment as this may interfere with the healing process or cause irritation.

The nurse should only notify the physician if there are signs of bleeding, swelling, redness, foul odor, or pus.

Choice D:

Applying an antibiotic ointment may cause allergic reactions, skin irritation, or resistance to the antibiotic.

The Plastibell device does not require any special care other than keeping the area clean and dry.

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Circumcision care

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