The parents of a newborn with hypospadias are anxious about the timing of the surgical correction. What information should the nurse share with them?
Surgery should be performed within one month to prevent bladder infections.
Postponing the repair until the child reaches school age can alleviate fears of castration.
The repair should be completed before the child is toilet-trained.
The urethral repair should be carried out after the child reaches sexual maturity.
The Correct Answer is C
Choice A rationale
While it’s important to prevent bladder infections, performing surgery within one month is not typically recommended for hypospadias.
Choice B rationale
Postponing the repair until the child reaches school age is not typically recommended. The fear of castration is not usually a consideration in the timing of hypospadias repair.
Choice C rationale
The repair should ideally be completed before the child is toilet-trained. This allows for normal urinary function and reduces potential psychological impact.
Choice D rationale
Waiting until the child reaches sexual maturity is not typically recommended. Early intervention allows for normal development and function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While physical therapy can be beneficial for many pediatric patients, it may not be the most appropriate intervention for a newborn who has had gastroschisis repair and is on parenteral nutrition and continuous enteral feedings. The focus at this stage should be on promoting normal growth and development, and physical therapy may not directly contribute to this goal.
Choice B rationale
Offering a pacifier for non-nutritive sucking can be an effective strategy to promote normal growth and development in infants who have had gastroschisis repair. Non-nutritive sucking can help stimulate the sucking reflex, which is important for feeding and growth. Therefore, the nurse should include this action in the plan of care.
Choice C rationale
Confirming the placement of the enteral tube with an abdominal x-ray is an important part of care for infants on continuous enteral feedings. However, this action is more related to ensuring the safety and effectiveness of the feeding process rather than promoting the infant’s normal growth and development.
Choice D rationale
Using sterile technique during feedings is a standard practice to prevent infection, especially in infants who are on parenteral nutrition and continuous enteral feedings. However, this action does not directly promote the infant’s normal growth and development.
Correct Answer is C
Explanation
Choice A rationale
While a list of achievement timeline for developmental milestones can provide useful information about the child’s overall development, it may not be the most critical information when planning care for an umbilical hernia repair.
Choice B rationale
The mother’s use of alcohol, drugs, or cigarettes during pregnancy can have long-term effects on the child’s health, but it may not be the most relevant information for planning care for an umbilical hernia repair.
Choice C rationale
Knowing how the child reacted to any previous hospitalizations can provide valuable insight into the child’s previous healthcare experiences. This information can help the nurse plan care that is appropriate for the child’s emotional and developmental needs during the hospitalization for an umbilical hernia repair.
Choice D rationale
A history of rubella, rubeola, or chicken pox is important for the child’s medical history, but it may not be the most critical information when planning care for an umbilical hernia repair.
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