Author Question: The parents of an infant plan to have him circumcised. They ask the nurse about pain associated with ... (Read 128 times)

Kikoku · **on:** Jun 28, 2018

The parents of an infant plan to have him circumcised. They ask the nurse about pain associated with this procedure. The nurse's response should be based on which?

a. That infants experience pain with circumcision
b. That infants are too young for anesthesia or analgesia
c. That infants do not experience pain with circumcision
d. That infants quickly forget about the pain of circumcision

Question 2

Immediately following the forceps-assisted birth of an infant, which action should the nurse implement?

a. Assess the infant for signs of trauma.
b. Apply a cold pack to the infant's scalp.
c. Give the infant prophylactic antibiotics.
d. Measure the circumference of the infant's head.

vickybb89 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
Circumcision is a surgical procedure. The American Academy of Pediatrics has recommended that procedural analgesia be provided when circumcision is performed. The pain infants experience with surgical procedures can be alleviated with analgesia. Infants who undergo circumcision without anesthetic agents react more intensely to immunization injections at 4 to 6 months of age compared with infants who had an anesthetic.

Answer to Question 2

ANS: A
Forceps birth can result in local irritation, bruising, or lacerations of the fetal scalp. This would put the infant at risk for cold stress and would be contraindicated. Prophylactic antibiotics are not necessary with a forceps birth. Measuring the circumference of the head is part of the initial nursing assessment.