The parents of a newborn plan to have him circumcised. They ask ...

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The parents of a newborn plan to have him circumcised. They ask the nurse about pain associated with this procedure. The nurse's response should be based on the knowledge that newborns:
 
  a. experience pain with circumcision.
  b. do not experience pain with circumcision.
  c. quickly forget about the pain of circumcision.
  d. are too young for anesthesia or analgesia.

Question 2

Early this morning, a baby boy was circumcised by using the Plastibell method. The nurse should tell the mother that the baby can be discharged after:
 
  a. the newborn voids.
  b. receiving vitamin K.
  c. yellow exudate forms over glans.
  d. the Plastibell rim falls off.

[Viet Thy]

Answer to Question 1

ANS: A
Circumcision is a surgical procedure. The American Academy of Pediatrics has recommended that, when circumcision is performed, procedural analgesia be provided. Pain is associated with surgical procedures. The newborn experiences pain, which can be alleviated with analgesia. Topical and injected analgesia are available for this procedure.

Answer to Question 2

ANS: A
The circumcision site is evaluated for excessive bleeding every 30 minutes for at least 2 hours. After these observations and voiding, the newborn can be discharged. The newborn should have received vitamin K soon after delivery. This normal yellow exudate will usually form on the second day after the circumcision. Discharge can occur earlier. The Plastibell rim will separate and fall off within 5 to 8 days. The newborn should be discharged before this.

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Thank you

[Viet Thy]

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