Question

A newborn male is being discharged 4 hours after having had a circumcision. What should the nurse instruct the mother to do?

A. Apply the diaper loosely for several days
B. Give a crushed baby aspirin if there is irritability
C. Check for bleeding every two hours during the first day home
D. Call the practitioner if there is whitish exudate around the glans

Answer 1

The nurse should instruct the mother to apply the diaper loosely, check for bleeding every two hours during the first day, and call the practitioner if there is whitish exudate around the glans after the first 24 hours.

Step-by-step explanation:

Instructions for Post-Circumcision Care

When a newborn male is discharged after a circumcision, it is critical to ensure proper care to prevent complications and promote healing. Here are the correct instructions for the mother following her newborn's circumcision:

• Apply the diaper loosely for several days to prevent added pressure on the circumcision site.
• Give acetaminophen, not aspirin, for pain as baby aspirin is not recommended for newborns due to the risk of Reye's syndrome.
• Check for bleeding every two hours during the first day home to monitor for any excessive bleeding that may indicate a complication.
• Call the practitioner if there is a persistent whitish exudate around the glans after the first 24 hours, as this might be a sign of infection.

It is important to follow the healthcare provider's instructions and contact them if there are any signs of complications, such as bleeding, infection, or the baby seems to be in undue pain.