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".

Answer and Explanation

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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Correct Answer is C

Explanation

A. Placing the baby under a warmer can be done if skin-to-skin is not effective.

B. CPR is unnecessary as the newborn’s vital signs are within normal limits for this age.

C. Skin-to-skin contact is the best initial intervention to stabilize temperature and promote bonding, which may also regulate respiratory and heart rates.

D. Oxygen is not indicated as the respiratory rate and oxygenation appear adequate.

A. It is an abnormal finding called seborrheic dermatitis. B. It is a normal finding called Epstein pearls. C. It is an abnormal finding indicating congenital syphilis infection. D. It is a normal finding called erythema toxicum.

Correct Answer is D

Explanation

A. Seborrheic dermatitis presents with greasy, yellow scales on the scalp, not pustules.
B. Epstein pearls are white cystic lesions found on the gums or roof of the mouth.
C. Congenital syphilis presents with more severe systemic signs and not just a pustular rash.
D. Erythema toxicum is a common, benign, self-limiting newborn rash that appears as firm pustules on a red base, typically seen on the face and trunk.

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The nurse is instructing a new parent on appropriate circumcision care. Which statement by the parent demonstrates effective teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a 4-hour old newborn. The nurse's findings include an irregular respiratory rate at 58, heart rate of 138 with a regular rhythm, and axillary temperature of 97.4 °F. Based on these assessments which intervention(s) should the nurse perform first?

Correct Answer is C

Explanation

The nurse is assessing a term newborn and finds a rash of firm pustules with a red base on the face and trunk. Based on the assessment findings, the nurse determines this about the rash:

Correct Answer is D

Explanation

A nurse in the newborn nursery is caring for a group of newborns. Which of the following newborns requires immediate intervention?

A breastfeeding mother is planning to return to work 3 months after her baby is born. The mother is planning to use an electric breast pump and freeze some breast milk for use later. Which information does the nurse need to provide?

A nurse is assisting a healthcare provider during an infant's circumcision. Which action by the nurse demonstrates the nurse is acting as the infant's client care advocate?

A nurse is assessing a newborn who was born at 42.5 weeks of gestation. Which of the following findings should the nurse expect?

Complete the following sentence by using the list of options. Clinical management strategies for prevention of retinopathy of prematurity (ROP) focus on targeting appropriate ______ for infants at risk.

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