Nurses can assist parents who are trying to decide whether their ...

[Mimi]

Nurses can assist parents who are trying to decide whether their son should be circumcised by explaining:
 
  a. The pros and cons of the procedure during the prenatal period.
  b. That the American Academy of Pediatrics (AAP) recommends that all newborn boys be routinely circumcised.
  c. That circumcision is rarely painful and any discomfort can be managed without med-ication.
  d. That the infant will likely be alert and hungry shortly after the procedure.

Question 2

With regard to umbilical cord care, nurses should be aware that:
 
  a. The stump can easily become infected.
  b. A nurse noting bleeding from the vessels of the cord should immediately call for assistance.
  c. The cord clamp is removed at cord separa-tion.
  d. The average cord separation time is 5 to 7 days.

[dajones82]

Answer to Question 1

ANS: A
Many parents find themselves making the decision during the pressure of labor. The AAP and other professional organizations note the benefits but stop short of recommendation for routine circumcision. Circumcision is painful and must be managed with environmental, nonpharmaco-logic, and pharmacologic measures. After the procedure the infant may be fussy for several hours, or he may be sleepy and difficult to awaken for feeding.

Answer to Question 2

ANS: A
The cord stump is an excellent medium for bacterial growth. The nurse should first check the clamp (or tie) and apply a second one. If the bleeding does not stop, the nurse calls for assistance. The cord clamp is removed after 24 hours when it is dry. The average cord separation time is 10 to 14 days.