RN HESI PAEDIATRICS Exam 2
RN HESI PAEDIATRICS Exam 2 ( 48 Questions)
A newborn infant is diagnosed with hypospadias and the parents have requested a circumcision prior to discharge. Which response should the nurse provide?
reason:
The foreskin will be needed for a later hypospadias repair. In cases of hypospadias, where the urethral opening is located on the underside of the penis rather than at the tip, surgical repair is often necessary to correct the condition. During hypospadias repair surgery, the foreskin may be used to reconstruct the new urethral opening and other parts of the penis. Therefore, if the parents choose to have a circumcision prior to discharge, the foreskin may not be available for the later hypospadias repair procedure.
reason:
Circumcision is delayed until puberty in infants with hypospadias: This is not a standard practice. Circumcision and hypospadias repair are separate procedures that are typically performed at different times.
reason:
Scar tissue could interfere with hypospadias reconstruction: While scar tissue is a consideration in surgical procedures, it's not the primary reason for the response. The primary concern is preserving the foreskin for potential use in the hypospadias repair.
reason:
Local anaesthesia for circumcision is not recommended in infants with hypospadias: This is not a general recommendation. Anaesthesia can be used for circumcision or surgical procedures, but the response focuses on the preservation of the foreskin for potential use in hypospadias repair.