Difficulty: Medium
Average Score: 85%
Simulated
Passage / Scenario
The nurse is caring for a newborn who just had a circumcisionItem 1 of 1
ÔÇó NursesÔÇÖ Note
1730 ÔÇô First diaper change since circumcision. Three dried blood spots were noted in the diaper and a moderate amount of straw-colored urine. The diaper was changed, and petroleum jelly was reapplied to the penis. Erythema was noted at the tip of the penis. No crying or signs of pain distress were observed during the diaper change. Reviewed after-care instructions to the parents.
ÔÇó Vital Signs
Axillary Temperature 97.0o F (36o C)
Pulse 134/minute
Respirations 44/minute
O2 saturation 96% on room air
Click to specify if the statements made by the parent indicate effective teaching or require follow-up
Rationale
After reviewing aftercare instructions with the parents of a newborn who just had a circumcision, the nurse should follow up with the parents if they state that they will wipe off any yellow exudate that may appear. This is a normal finding and will disappear within a week.
Premoistened alcohol-based baby wipes should be avoided because they irritate the incision and cause discomfort to the infant.
Infants should always ride in a rear-facing car seat, in the back seat, even after a circumcision. While the car seat may irritate, the infant's safety is essential, and riding anywhere else but a rear-facing car seat is dangerous.
It would indicate effective teaching if the client states they will fasten the diaper loosely while the circumcision heals. This prevents the penis from adhering to the diaper and causing irritation.
Premoistened alcohol-based baby wipes should be avoided because they irritate the incision and cause discomfort to the infant.
Infants should always ride in a rear-facing car seat, in the back seat, even after a circumcision. While the car seat may irritate, the infant's safety is essential, and riding anywhere else but a rear-facing car seat is dangerous.
It would indicate effective teaching if the client states they will fasten the diaper loosely while the circumcision heals. This prevents the penis from adhering to the diaper and causing irritation.