Author Question: The nurse is providing instruction to the parents of a newborn boy. The parents have decided not to ... (Read 36 times)

jayhills49 · **on:** Jun 28, 2018

The nurse is providing instruction to the parents of a newborn boy. The parents have decided not to circumcise the child. What information should be included in the discussion? Select all answers that apply.

A) The foreskin should be pulled back for cleaning at least once per day.
B) The foreskin should be pulled back gently with each diaper change.
C) Clean the penis gently with soap and water.
D) If the foreskin is not retractable do not force it.
E) When the foreskin is retracted, gently replace it prior to completing diapering.

Question 2

A child returns from surgery in which a stoma was created in the abdominal wall to the bladder. The nurse identifies this as a:

A) vesicostomy.
B) ureteral stent.
C) continent urinary diversion.
D) bladder augmentation.

triiciiaa · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Ans: C, D, E
The newborn's foreskin does not normally retract. This may not be possible until later in infancy. If the foreskin does not retract do not force it. If the foreskin is able to be retracted, do so gently. Return the foreskin to place prior to applying the diaper. Soap and water should be used several times per day to clean the penis and perineal area.

Answer to Question 2

Ans: A
A vesicostomy refers to a stoma created in the abdominal wall to the bladder. A ureteral stent is a thin catheter temporarily placed in the ureter to drain urine. A continent urinary diversion uses a piece of the intestine to create a bladder that can be catheterized. Bladder augmentation involves the use of a piece of the stomach or intestine to enlarge bladder capacity.