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A nurse on a postpartum unit is giving discharge instructions for a client whose newborn had a circumcision with the Gomco clamp.
Which of the following client statements indicates understanding of circumcision care? (Select all that apply.)

A.

I’ll make sure his diaper is loose in the front.

B.

If a yellow crust forms on the circumcision site, I will call the doctor immediately.

C.

I’ll call the office if I see a lot of bleeding.

D.

I will apply petroleum jelly to his penis with each diaper change.

Question Solution

Correct Answer : A,C,D

Choice A rationale

Keeping the diaper loose in the front helps avoid pressure on the circumcision site, promoting healing and reducing discomfort for the infant.

 

Choice B rationale

A yellow crust or exudate forming on the circumcision site is a normal part of the healing process and should not be a cause for alarm. It is not an indication to call the doctor immediately unless other signs of infection or complications are present.

 

Choice C rationale

Notifying the healthcare provider in the case of significant bleeding is crucial. Excessive bleeding can indicate a complication that requires prompt medical attention to ensure the infant's safety and proper healing.

 

Choice D rationale

Applying petroleum jelly with each diaper change helps to protect the circumcision site from sticking to the diaper, promoting healing and reducing discomfort.


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Correct Answer is B

Explanation

Choice A rationale

Vitamin K has no role in stabilizing blood glucose levels; hypoglycemia in newborns is managed differently.

Choice B rationale

Vitamin K is essential for blood clotting, and newborns typically have low stores at birth, necessitating supplementation to prevent bleeding disorders.

Choice C rationale

There is no established link between maternal fever and the need for vitamin K; prophylaxis is standard for all newborns regardless of maternal health.

Choice D rationale

Newborns do not have sufficient prothrombin or other clotting factors, which is why vitamin K administration is critical.

Correct Answer is ["A"]

Explanation

Step 1 is 33 lb × (1 kg ÷ 2.2 lb) = 15 kg.

Step 2 is 30 mg/kg/day × 15 kg = 450 mg/day.

Step 3 is 450 mg/day ÷ 2 = 225 mg per dose.

Step 4 is 225 mg ÷ (200 mg/5 mL) = 5.625 mL. The final calculated answer is 5.6 mL.

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