The nurse is instructing a new parent on appropriate circumcision care. Which statement by the parent demonstrates effective teaching?
"It is not uncommon for circumcision babies to void 36 to 42 hours after the procedure."
"I can expect the circumcision to be fully-healed in 3 to 5 days."
"I will apply a lubricant over the circumcision site with each diaper change."
"I will need to remove the plastibell in 7 to 10 days".
The Correct Answer is C
A. Newborns should void within 24 hours after the procedure; delays beyond 24 hours require medical attention.
B. Healing usually takes 7-10 days, not 3-5 days.
C. Applying petroleum jelly or another lubricant at each diaper change prevents the diaper from sticking to the healing site, reducing pain and promoting healing.
D. The Plastibell falls off on its own within 5-8 days and should not be forcibly removed.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The basal metabolic rate may increase as a result of cold stress, but the primary purpose of the warmer is to prevent cold stress.
B. Newborns are at risk of cold stress because they have a large body surface area and limited ability to regulate body temperature. A radiant warmer is used to help maintain the newborn’s body temperature and prevent cold stress.
C. Newborns do not typically shiver to generate heat. They rely on mechanisms such as non-shivering thermogenesis (use of brown fat).
D. Brown fat is used for heat production, but the goal of the radiant warmer is to prevent cold stress, not directly stimulate brown fat production.
Correct Answer is D
Explanation
A. Hemolysis by maternal antibodies suggests hemolytic disease of the newborn (e.g., Rh incompatibility), which typically presents earlier and more severely.
B. Delayed meconium excretion may lead to increased bilirubin, but this is not the most common cause of jaundice at 3 days.
C. Pathological jaundice occurs within the first 24 hours or persists longer than a week.
D. Physiological jaundice is a common finding in newborns due to the natural breakdown of fetal red blood cells (RBCs) and the immature liver's inability to efficiently process bilirubin.
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