A nurse is caring for a newborn who had a circumcision 4 hr ago. During a diaper change, the nurse notes bright red blood oozing from the incision. Which of the following actions should the nurse take?
Place petroleum jelly on the bleeding site.
Secure a clean diaper snugly across the newborn's penis.
Rinse the newborn's penis with cool water.
Apply gentle pressure using a sterile dry gauze pad.
The Correct Answer is D
A. Petroleum jelly should be applied to prevent the diaper from sticking to the circumcision site, but it will not stop bleeding. Bright red blood oozing indicates that immediate action is needed to control bleeding.
B. Securing a clean diaper snugly could apply pressure but may not be the most effective method for controlling bleeding. It is more important to manage the bleeding directly by applying pressure.
C. Rinsing the newborn's penis with cool water is not an appropriate action for controlling bleeding. Cool water might be used for cleaning but does not address the issue of bleeding from the circumcision site.
D. Applying gentle pressure using a sterile dry gauze pad is the correct action to manage the bleeding. This method helps to control the bleeding by providing direct pressure to the site, which is crucial for addressing the issue.
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Related Questions
Correct Answer is C
Explanation
A. One cup of pasta contains some folate, but it is not the best source for increasing folate intake during pregnancy. Pasta provides carbohydrates but is not as rich in folate compared to leafy greens.
B. One large egg contains a moderate amount of folate but is not the highest source of folate compared to other foods. Eggs provide several nutrients, but for folate, there are better food options.
C. One cup of cooked spinach is a highly recommended food for increasing folate intake. Spinach is rich in folate, which is essential for fetal development, including preventing neural tube defects.
D. Half a cup of orange juice provides a decent amount of folate but is not as high in folate as one cup of cooked spinach. While orange juice can contribute to folate intake, it does not match the folate content of leafy greens like spinach.
Correct Answer is A
Explanation
A. Recurrent urinary tract infections are a contraindication for using a diaphragm because the presence of a foreign object in the vagina can increase the risk of UTIs.
B. Tobacco use is a risk factor for cardiovascular issues with hormonal contraceptives but not for barrier methods like diaphragms.
C. History of positive group B streptococcus B-hemolytic is a concern for newborn care and labor management, but it is not a contraindication for the use of a diaphragm.
D. Deep-vein thrombosis is a contraindication for hormonal contraceptives due to an increased risk of clotting but does not affect the use of diaphragms, which are a barrier method of contraception.
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