A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique.
Which of the following information should the nurse include?
"Notify the provider if the end of your baby's penis appears dark red.”
"The Plastibell will be removed 4 hours after the procedure.”
"Yellow exudate will form at the surgical site in 24 hours.”
"Make sure the newborn's diaper is snug.”
The Correct Answer is C
Yellow exudate will form at the surgical site in 24 hours.
After a Plastibell circumcision, the penis might develop a yellow-ish discharge which is a normal side effect that should go away in a few days.
Choice A is incorrect because the foreskin may darken around the ring while it remains on the penis until it falls off naturally in 7-10 days.
Choice B is incorrect because the plastic ring remains on the penis until foreskin falls off naturally in 7-10 days.
Choice D is incorrect because there is no information found that suggests making sure the newborn’s diaper is snug after a Plastibell circumcision.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Bathing the newborn before initiating skin-to-skin contact is an action that the nurse should include in the plan of care for a client who is pregnant and has HIV.
Choice A is incorrect because using a fetal scalp electrode during labor and delivery is not mentioned as an action that should be included in the plan of care for a client who is pregnant and has HIV in my sources.
Choice C is incorrect because instructing the client to stop taking antiretroviral medications at 32 weeks of gestation is not mentioned as an action that should be included in the plan of care for a client who is pregnant and has HIV in my sources.
Choice D is incorrect because administering a pneumococcal immunization to the newborn within 4 hours following birth is not mentioned as an action that should be included in the plan of care for a client who is pregnant and has HIV in my sources.
Correct Answer is D
Explanation
The nurse should obtain a maternal serum alpha-fetoprotein (MSAFP) specimen for a client at 12 weeks of gestation.
MSAFP is a screening tool used to identify fetal neural tube defects (NTDs) such as spina bifida and anencephaly.
Elevated levels of MSAFP indicate an increased risk for NTDs, while low levels indicate an increased risk for chromosomal abnormalities such as Down syndrome.
Administering rubella vaccine (A) is contraindicated during pregnancy as it is a live vaccine and can cause fetal harm.
Administering ceftriaxone IM (B) and obtaining a blood culture (C) are not indicated based on the information provided about the client.
The client's allergy to penicillin is not relevant to the nurse's immediate action.
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