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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B"}
Explanation
A. Respiratory rate: While important for general respiratory health, it does not directly impact ROP prevention.
B. Oxygen saturation ranges: Retinopathy of prematurity (ROP) is a condition that primarily affects preterm infants and is associated with abnormal vascular development of the retina. One of the key factors contributing to ROP is hyperoxia (excessive oxygen). Therefore, maintaining appropriate oxygen saturation levels, typically between 90% and 95% for preterm infants, is essential to reduce the risk of developing ROP while ensuring adequate oxygenation.
C. Blood glucose levels: Maintaining glucose is vital for overall health but is not a primary focus in ROP prevention.
D. Thermoregulation: Keeping infants warm is critical but unrelated to ROP prevention.
E. Heart rate: Monitoring heart rate ensures adequate cardiac function but does not directly influence ROP development.
Correct Answer is D
Explanation
A. Using a whole hand for gentle containment is more appropriate for calming preterm infants.
B. Promoting flexion, not extension, helps mimic the fetal position and provides comfort.
C. A dimly lit environment is preferred for preterm infants to reduce sensory overload.
D. Clustering care reduces stimulation and promotes rest, which is essential for preterm infant development and reducing stress.
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