The nurse is evaluating a client's understanding of postcircumcision care for a 24-hour-old newborn. Circumcision was performed using the clamp method. Which statement by the client demonstrates a need for further teaching?

Question

The nurse is evaluating a client's understanding of postcircumcision care for a 24-hour-old newborn.  Circumcision was performed using the clamp method.  Which statement by the client demonstrates a need for further teaching?

Quizplus · Accepted Answer

Newborn circumcision is a procedure that removes the foreskin from the glans penis using a clamp (eg, Gomco) or plastic ring (eg, PlastiBell). Circumcision is typically performed near discharge to ensure that the newborn is stable. Circumcision care includes: Washing hands before providing care. Applying petroleum jelly to the glans penis at diaper changes (unless PlastiBell was used) for 3-7 days to prevent the exposed glans from adhering to the diaper until the site heals. The circumcision site typically heals within 7-10 days. Expecting yellow exudate on the penis after the first day, a normal part of the healing process (Option D). Exudate should not be removed forcefully and disappears in 2-3 days. Swelling, increasing redness, odor, or abnormal discharge may indicate infection. (Option A) Bleeding that exceeds the size of a quarter is a concern. (Option B) Using warm water (without soap) to remove urine/feces during diaper changes or at least twice daily is needed to keep the site clean. Alcohol-based wipes prevent healing and cause discomfort. (Option C) In the first 48 hours of life, 2-6 wet diapers every 24 hours are expected. By 3-4 days, 6-8 wet diapers every 24 hours are expected. The nurse should notify the health care provider if there is inadequate voiding or no voiding within 6-8 hours of circumcision, which may indicate urethral damage or excessive swelling. Educational objective: Yellow exudate on the glans penis indicates normal healing. Unusual swelling, increasing redness, odor, abnormal discharge, excessive bleeding, or absent/decreased urine output should be reported.

The Nurse Is Evaluating a Client's Understanding of Postcircumcision Care