A male newborn infant has just been circumcised. The nurse checks the surgical site, expecting it to have what appearance?

Choice A reason:

Antibiotic ointment to both eyes: This is typically administered to newborns to prevent bacterial infections such as gonorrhea and chlamydia, which can be contracted during birth. The ointment helps prevent neonatal conjunctivitis, a serious eye infection that can lead to blindness if untreated.

Choice B reason:

Hepatitis B immunization: Newborns are given the hepatitis B vaccine to protect them from the hepatitis B virus, which can cause serious liver disease. This vaccine is usually administered within the first 24 hours of birth.

Choice C reason:

Lidocaine gel to the umbilical stump: This is not a standard practice for newborn care. The umbilical stump is typically kept clean and dry to prevent infection, but lidocaine gel is not used for this purpose.

Choice D reason:

Haemophilus influenzae type b immunization: This vaccine is not typically given to newborns immediately after birth. It is usually administered starting at 2 months of age as part of the routine immunization schedule.

Choice E reason:

Vitamin K injection: Newborns have low levels of vitamin K, which is necessary for blood clotting. A vitamin K injection is given shortly after birth to prevent bleeding disorders.

Choice A Reason:

Preeclampsia is a condition characterized by high blood pressure and signs of damage to another organ system, often the kidneys. It typically occurs during pregnancy or shortly after delivery. While preeclampsia can lead to serious complications, the presence of petechiae and bleeding around the IV access site are not typical indicators of preeclampsia.

Choice B Reason:

Puerperal infection, also known as postpartum infection, refers to bacterial infections of the female reproductive tract following childbirth. Symptoms include fever, lower abdominal pain, and foul-smelling vaginal discharge. While puerperal infections are serious, they do not typically present with petechiae and bleeding around the IV access site.

Choice C Reason:

Anaphylactoid syndrome of pregnancy, also known as amniotic fluid embolism, is a rare but severe condition that occurs when amniotic fluid enters the maternal bloodstream, causing a severe allergic reaction .Symptoms include sudden cardiovascular collapse, respiratory distress, and coagulopathy. However, the presence of petechiae and bleeding around the IV access site is more indicative of a coagulopathy like disseminated intravascular coagulation (DIC) rather than anaphylactoid syndrome.

Choice D Reason:

Disseminated intravascular coagulation (DIC) is a serious condition that involves widespread clotting and bleeding throughout the body. It can be triggered by abruptio placentae, where the placenta detaches from the uterus prematurely. The presence of petechiae and bleeding around the IV access site are classic signs of DIC, as the condition leads to the consumption of clotting factors and platelets, resulting in bleeding and clotting abnormalities.