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The nurse is reinforcing education about circumcision care. Which statement by the parents demonstrates an understanding?

"We will not wash the circumcision area until it is healed."

"We will retract the remaining foreskin to clean around the shaft of the penis."

"We will notify the pediatrician if we notice any bright red bleeding."

"We will gently scrub off the yellow crusted area as it heals."

Answer and Explanation

The Correct Answer is C

A. The circumcision area should be gently cleaned with warm water, not avoided.

B. Retraction of the foreskin is inappropriate as the foreskin is removed during circumcision.

C. Bright red bleeding is abnormal and requires immediate medical attention.

D. The yellow crust is part of normal healing and should not be scrubbed off.

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Correct Answer is C

Explanation

A. BAT does not primarily act as insulation but as a heat source.

B. BAT is unrelated to protection from birth injuries.

C. Brown adipose tissue (BAT) is metabolized to generate heat through non-shivering thermogenesis, which is critical for newborns as they cannot shiver effectively.

D. While BAT does provide some energy, its main purpose is heat production, not calorie storage.

A. Feed the infant at least 1 ounce of formula. B. Collect a sterile urine specimen to evaluate for drugs of abuse. C. Swaddle the infant with hands near its mouth. D. Move the infant into a brightly lit area for further assessment.

Correct Answer is C

Explanation

A. Feed the infant at least 1 ounce of formula: Feeding may help if the baby is hungry, but it is not the first action in managing symptoms of NAS.
B. Collect a sterile urine specimen: This is an important step for diagnosing NAS but is not the immediate action to calm the infant.
C. Swaddle the infant with hands near its mouth: These symptoms are consistent with neonatal abstinence syndrome (NAS). Comfort measures such as swaddling and non-nutritive sucking are prioritized to soothe the infant.
D. Move the infant into a brightly lit area: A quiet, dim environment is better for soothing an overstimulated baby, so this action would be counterproductive.

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The nurse is reinforcing education about circumcision care. Which statement by the parents demonstrates an understanding?

Nursing Test Bank

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