Question

A nurse is reviewing contraindications for circumcision with a newly hired nurse. Which of the following conditions are contraindications? (select all that apply.)

1. hypospadias
2. hydrocele
3. Family history of hemophilia
4. hyperbilirubinemia
5. epispadias

Answer 1

Contraindications for circumcision include hypospadias, epispadias, and a family history of hemophilia because they either impact the normal anatomy necessary for a straightforward circumcision or pose an increased risk during the surgical procedure. Hydrocele and hyperbilirubinemia are not typically contraindications for the procedure.

Step-by-step explanation:

The question pertains to understanding which medical conditions are contraindications for circumcision procedures. Circumcision is a common procedure, but it is not appropriate for all newborns. Certain medical conditions can make circumcision riskier or ill-advised.

The other two conditions, hydrocele and hyperbilirubinemia, do not typically serve as contraindications for circumcision. A hydrocele is a collection of fluid in the scrotal sac, while hyperbilirubinemia involves an elevated level of bilirubin in the blood, commonly seen in newborn jaundice.

It is important to assess each individual case and understand the medical history of the patient before proceeding with a circumcision, as underscored by the unfortunate case of David Reimer, which showcases the potential long-term consequences of surgical interventions gone wrong.