Author Question: The nurse is providing discharge instructions to a couple whose baby was circumcised in the morning ... (Read 22 times)

dalyningkenk · **on:** Jun 28, 2018

The nurse is providing discharge instructions to a couple whose baby was circumcised in the morning using the Plastibell method. The family will be allowed to go home when:

a. The Plastibell rim falls off.
b. The infant voids.
c. Yellow exudate forms over the glans.
d. Bleeding stops completely.

Question 2

A nursing instructor asks a student nurse where the vitamin K injection should be administered. The student explains that the vitamin K injection will be given where?

a. Vastus lateralis
b. Gluteus maximus
c. Deltoid
d. Abdomen

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

Answer to Question 1

ANS: B
Because of the potential for injury to the urethra during circumcision, or penile edema from the procedure, it must be documented that the newborn has voided after circumcision before being discharged home. The Plastibell usually falls off in 4 to 8 days. A drop or two of blood may still be noted in the diaper after discharge. The yellow exudate is part of the normal healing process and does not begin to appear until several hours after circumcision.

Answer to Question 2

ANS: A
Injections to newborns are given in the vastus lateralis muscle, where muscle development is adequate. Other sites are not appropriate.