Difficulty: Medium
Average Score: 70%
Simulated
Passage / Scenario
The newborn was born at 0700 with APGAR scores of 8 and 9. There were no complications during pregnancy, labor, or delivery. The Gomco technique was used for the circumcision, and the newborn tolerated the procedure well. Nurses' Notes: 0930 and 1015 - No bleeding or signs of infection noted at the circumcision site. Provided the newborn's parent with discharge education regarding care of the penis post-circumcision. The client verbalized understanding of the education. The newborn will return to the clinic in 3 days for follow-up.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.
Correct answer
A,C,D,E
Rationale
Essential: The glans penis appearing red with a yellow crust is normal and should not be removed. Notifying the pediatrician if the baby has not voided in 24 hours is crucial. Coating the glans with petroleum jelly and covering with gauze prevents sticking and aids healing. Checking for bleeding every 4 hours is important to monitor for complications. Contraindicated: A tight diaper can cause pressure and irritation to the circumcision site.