A newborn with a congenital defect of the penis should not be ...

[Redwolflake15]

A newborn with a congenital defect of the penis should not be circumcised because:
 
  a. There is increased risk of infection.
  b. The foreskin may be needed for future repairs.
  c. A circumcision will make the defect more visible.
  d. There is no medical rationale for a circumcision.

Question 2

A multiparous woman is admitted to the postpartum unit after a rapid labor and birth of a 4000-g infant. Her fundus is boggy, lochia is heavy, and vital signs are unchanged.
 
  The nurse has the woman void and massages her fundus, but her fundus remains difficult to find and the rubra lochia remains heavy. The nurse should: a. continue to massage the fundus.
  b. notify the physician.
  c. recheck vital signs.
  d. insert a Foley catheter.

[juicepod]

Answer to Question 1

B
The foreskin may be used to correct the defect.
There is no significant increase in infection.
A circumcision would not make the defect more noticeable.
A circumcision is a decision of the parents, but in this case the foreskin may be used to cor-rect the defect.

Answer to Question 2

B
The uterine muscle can be overly stimulated by massage, leading to uterine atony and rebound hemorrhage. Treatment of excessive bleeding requires the collaboration of the physician and the nurses. The nurse should call the clinician while a second nurse rechecks the vital signs. Do not leave the patient alone. The woman has voided successfully so a Foley catheter is not needed at this time.

[Redwolflake15]

Excellent

[milbourne11]

TYSM