A nurse is assisting the practitioner with a circumcision using the Mogen clamp method.
What should the nurse do during the procedure?
Comfort and maintain the newborn’s safety by holding his hands and legs securely
Monitor the newborn’s vital signs and oxygen saturation continuously.
Apply a topical anesthetic cream to the penis 30 minutes before the procedure.
Provide oral sucrose solution to the newborn using a pacifier or syringe
The Correct Answer is A
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 procedure and 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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
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.
Correct Answer is ["B","C"]
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.
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