The nurse is providing education to a mother of an uncircumcised male infant. What hygiene education would be the most appropriate for the nurse to provide?

Instruct her to use a cotton swab to clean under the foreskin.

Instruct her to clean the penis by retracting the foreskin.

Instruct her not to retract the foreskin.

Instruct her cleansing the foreskin is not needed.

Answer and Explanation

The Correct Answer is C

A. Cotton swabs are unnecessary and may cause irritation.

B. Forcing the foreskin to retract may cause injury.

C. In newborns and infants, the foreskin is typically non-retractable and should not be forcibly retracted. It will gradually separate on its own as the child grows.

D. Regular cleaning of the external genitalia is needed, but without retracting the foreskin.

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Correct Answer is A

Explanation

A. The entry of air into the alveoli, replacing expelled amniotic fluid, is a critical mechanical stimulus that initiates the transition to neonatal breathing.
B. Decreased oxygen levels trigger chemical, not mechanical, stimuli.
C. The diaphragm moves downward during inspiration, not upward.
D. Drying and stimulation help initiate breathing through sensory stimulation, not mechanical.

A. Explain that this is an acceptable weight loss for this time. B. Notify the healthcare provider of excessive weight loss. C. Take the infant to the intensive care unit for an intravenous line. D. Advise the mother to supplement each breastfeeding with formula.

Correct Answer is A

Explanation

A. It is normal for newborns to lose up to 10% of their birth weight in the first few days. This weight loss is primarily due to fluid shifts and will resolve with regular breastfeeding.

B. Weight loss in this range is not excessive and does not require immediate intervention.

C. There is no indication for intensive care based on this weight loss alone.

D. Supplementing with formula is not necessary unless weight loss exceeds 10% or breastfeeding is inadequate.

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The nurse is providing education to a mother of an uncircumcised male infant. What hygiene education would be the most appropriate for the nurse to provide?

Nursing Test Bank

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