Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing teaching to the parents of a newborn about the Plastibell circumcision technique.
Which of the following information should the nurse include?
A. "Notify the provider if the end of your baby's penis appears dark red.”
Choice A is incorrect because the foreskin may darken around the ring while it remains on the penis until it falls off naturally in 7-10 days.
B. "The Plastibell will be removed 4 hours after the procedure.”
Choice B is incorrect because the plastic ring remains on the penis until foreskin falls off naturally in 7-10 days.
C. "Yellow exudate will form at the surgical site in 24 hours.”
Yellow exudate will form at the surgical site in 24 hours. After a Plastibell circumcision, the penis might develop a yellow-ish discharge which is a normal side effect that should go away in a few days.
D. "Make sure the newborn's diaper is snug.”
Choice D is incorrect because there is no information found that suggests making sure the newborn’s diaper is snug after a Plastibell circumcision.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Maternal Newborn 2019 with NGN Proctored Exam. Take the full exam now
Full Explanation
Yellow exudate will form at the surgical site in 24 hours.
After a Plastibell circumcision, the penis might develop a yellow-ish discharge which is a normal side effect that should go away in a few days.
Choice A is incorrect because the foreskin may darken around the ring while it remains on the penis until it falls off naturally in 7-10 days.
Choice B is incorrect because the plastic ring remains on the penis until foreskin falls off naturally in 7-10 days.
Choice D is incorrect because there is no information found that suggests making sure the newborn’s diaper is snug after a Plastibell circumcision.
Similar Questions
A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally.
Which of the following findings should the nurse expect the newborn to exhibit?
A. Cataracts.
Choice A is incorrect because cataracts are not mentioned as a symptom of congenital CMV.
B. Hearing loss.
Congenital CMV can cause birth defects and other long-term health problems such as hearing loss. Hearing loss may be present at birth or may develop later in babies who passed their newborn hearing test.
C. Urinary tract infection.
Choice C is incorrect because urinary tract infection is not mentioned as a symptom of congenital CMV.
D. Macrosomia.
Choice D is incorrect because macrosomia is not mentioned as a symptom of congenital CMV.
Full Explanation
Congenital CMV can cause birth defects and other long-term health problems such as hearing loss.
Hearing loss may be present at birth or may develop later in babies who passed their newborn hearing test.
Choice A is incorrect because cataracts are not mentioned as a symptom of congenital CMV.
Choice C is incorrect because urinary tract infection is not mentioned as a symptom of congenital CMV.
Choice D is incorrect because macrosomia is not mentioned as a symptom of congenital CMV.
A nurse is providing discharge teaching to a postpartum client about caring for her 3-day-old male newborn at home.
Which of the following statements should the nurse make to the client?
A. Place triple antibiotic ointment on your baby's umbilical cord twice per day.
Choice A is incorrect because you should clean around the umbilical cord stump with plain water and blot dry until it falls off naturally.
B. Swaddle your baby tightly with his legs extended before laying him to sleep.
Choice B is incorrect because swaddling a baby tightly with their legs extended is not recommended.
C. Notify your baby's pediatrician if he urinates less than six times a day.
Choice C is incorrect because a newborn should urinate at least six times a day.
D. Do not retract the foreskin to clean your baby's penis during each diaper change.
Do not retract the foreskin to clean your baby’s penis during each diaper change. The foreskin should not be retracted for cleaning during infancy.
Full Explanation
Do not retract the foreskin to clean your baby’s penis during each diaper change.
The foreskin should not be retracted for cleaning during infancy.
Choice A is incorrect because you should clean around the umbilical cord stump with plain water and blot dry until it falls off naturally.
Choice B is incorrect because swaddling a baby tightly with their legs extended is not recommended.
Choice C is incorrect because a newborn should urinate at least six times a day.
A nurse is providing teaching to a client who is primigravid and is scheduled to have an abdominal ultrasound.
Which of the following statements by the client indicates an understanding of the teaching?
A. "I will drink water before the test until my bladder feels full.”
“I will drink water before the test until my bladder feels full.” Drinking water before an abdominal ultrasound is usually recommended to ensure a full bladder.
B. "I can't have anything to eat after midnight.”
Choice B is incorrect because fasting for 8-12 hours before an abdominal ultrasound is usually recommended.
C. "I won't apply perfumed lotion to my abdomen before the test.”
Choice C is incorrect because there is no information found that suggests avoiding perfumed lotion on the abdomen before an abdominal ultrasound.
D. "I need to take a stool softener the night before the test.”
Choice D is incorrect because there is no information found that suggests taking a stool softener before an abdominal ultrasound.
Full Explanation
“I will drink water before the test until my bladder feels full.” Drinking water before an abdominal ultrasound is usually recommended to ensure a full bladder.
Choice B is incorrect because fasting for 8-12 hours before an abdominal ultrasound is usually recommended.
Choice C is incorrect because there is no information found that suggests avoiding perfumed lotion on the abdomen before an abdominal ultrasound.
Choice D is incorrect because there is no information found that suggests taking a stool softener before an abdominal ultrasound.