Immediate Newborn Care > Maternal & Newborn
Exam Review
Circumcision care
Total Questions : 4
Showing 4 questions, Sign in for moreA 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?
Explanation
The correct answer is 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 is wrong because a sterile dressing is not necessary and may interfere with the healing process.
Choice C is wrong because antibiotic ointment is not recommended and may cause allergic reactions or resistance.
Choice D is wrong because cold compresses are not effective and may cause discomfort or tissue damage.
A nurse is teaching a new mother about circumcision care at home.
What should the nurse include in the teaching? (Select all that apply.)
Explanation
The correct answer is choice B and C. 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 A is wrong because 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 D is wrong because 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 is wrong because 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.
A nurse is assisting the practitioner with a circumcision using the Mogen clamp method.
What should the nurse do during the procedure?
Explanation
The correct answer is 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 is wrong because 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 is wrong because 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 is wrong because 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.
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:
Explanation
The correct answer is choice C. Recognize this as an expected finding.
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 A is wrong because notifying the physician immediately is not necessary unless there are signs of infection or complications.
Choice B is wrong because 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 D is wrong because 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.
Sign Up or Login to view all the 4 Questions on this Exam
Join over 100,000+ nursing students using Nursingprepexams’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.
Sign Up Now
