The nurse has just assisted with a circumcision using a Plastibell device and notices that there is a yellowish exudate on the glans penis of an infant on his second day after circumcision.

The nurse should:

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 procedureand 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.

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.