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During the nursing assessment of a baby with hypospadias, the nurse should prioritize which of the following assessments?

A.

Inspecting the baby's genitalia urethral opening

B.

Checking the baby's respiratory rate

C.

Measuring the baby's head circumference

D.

Assessing the baby's ability to breastfeed

Answer and Explanation

The Correct Answer is A

A. Inspecting the baby’s genitalia and urethral opening is the priority assessment in hypospadias. Hypospadias is a congenital condition in which the urethral opening is located on the ventral (underside) surface of the penis rather than at the tip. Accurate inspection is essential for confirming the diagnosis, determining severity, and guiding surgical planning. It is also important for educating parents about delaying circumcision, since foreskin tissue may be needed for repair.
B. Checking the baby’s respiratory rate is a routine newborn assessment, but it is not specific to hypospadias and is not the priority focus when this condition is suspected.
C. Measuring head circumference is important in general newborn care to track growth and neurological development but is unrelated to hypospadias.
D. Assessing the baby’s ability to breastfeed is essential in overall newborn health, but it does not address the condition of hypospadias.


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Related Questions

Correct Answer is D

Explanation

A. Prohibiting all activities such as biking or skateboarding can lead to social isolation, decreased self-esteem, and limited physical development. While high-risk activities should be avoided, biking with proper protective equipment can be safe.
B. Allowing unrestricted participation in any sport (such as football, hockey, or wrestling) is unsafe due to the high risk of injury and bleeding in a child with hemophilia.
C. Restricting all sports or physical activity is not appropriate. Physical activity is essential for normal growth, development, socialization, and maintaining joint mobility in children with hemophilia.
D. Encouraging age-appropriate activities with protective gear (such as swimming, biking with a helmet, and non-contact sports) provides a safe balance. It supports physical, social, and emotional development while minimizing the risk of injury and bleeding episodes.

Correct Answer is C

Explanation

A. Spicy foods can irritate the oral mucosa and worsen mucositis; they should be avoided.
B. Oral hygiene should not be avoided—gentle oral care is essential to reduce infection risk and discomfort.
C. Using a soft-bristle toothbrush is correct because it allows for oral hygiene while minimizing trauma to delicate tissues.
D. Ice-cold beverages may provide temporary comfort but do not replace the need for proper oral care with a soft-bristle brush.

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