The Plastibell technique uses a specially designed plastic bell that is fitted over the
end of the penis. A suture is then tied around the rim of the bell, and a circle of the
prepuce is cut away, allowing the remaining foreskin to be retracted easily. The nurse
circumcision using a Plastibell device
should instruct the parent to monitor the site frequently and to apply gentle pressure
using sterile gauze if bleeding occurs. If this does not stop the bleeding, the parent
should notify the provider.
plain warm water at each diaper change. Soap should be avoided until the site is
The penis should be washed gently using
healed, which is usually 5 to 7 days after the procedure.
the Plastibell technique is used
he parent should avoid the application of
It can be applied to the glans penis for the first 24 hours after circumcision if a
petrolatum when
Gomco or Mogen clamp was used for the procedur
Postpartum depression is more serious and postpartum blues. It also includes manifestations of intense fears, anxiety, and
longer-lasting than despondency
34 weeks of gestation, the blood vessels in the brain are fragile. Additionally,
Intraventricular hemorrhage When an premature infants have an impaired coagulation process and fluctuating blood
infant is born before pressure. When combined, these factors increase the risk of bleeding into the
ventricles of the brain, causing neurological damage.
A nurse is assisting with the plan of care for Intraventricular hemorrhage When an infant is born before 34 weeks of gestation,
a newborn who was born at 30 weeks of the blood vessels in the brain are fragile. Additionally, premature infants have an
gestation. The nurse should plan to collect impaired coagulation process and fluctuating blood pressure. When combined,
data for which of the following potential these factors increase the risk of bleeding into the ventricles of the brain, causing
complications associated with prematurity? neurological damage.
Meconium aspiration syndrome is typically post-term infants. Insufficient gas exchange from an aging placenta can lead to
a complication of hypoxic episodes during which the fetus releases meconium into the amniotic sac.
hypoglycemia due to decreased glycogen stores and increased metabolic needs.
Premature infants have an increased risk of
They are typically unable to meet nutritional needs with oral intake
why premature infant has a greatly Due to limited subcutaneous and brown fat stores, as well as an inability to maintain
increased risk of hypothermia a flexed position
A nurse is reinforcing education with a "You might have to drink orange juice during the test." An NST monitors for
client who is at 34 weeks of gestation accelerations of the fetal heart rate over a 20-minute period. During this time, the
about a non-stress test (NST). Which of the fetus can be asleep and experience hypoactivity. The parent might be asked to drink
following pieces of information should the orange juice during testing to stimulate fetal movements.
nurse include?
An NST will take about 20 to 30 minutes to complete.
maternal newborn ATI PN
fetal wellbeing. Nipple stimulation is used for a contraction stress test in order to
During an NST, the nurse is monitoring
achieve uterine contractions
a contraction stress test in order to achieve uterine contractions. This is not indicated
An oxytocin infusion is used for
for an NS
hyperglycemia in the mother, which predisposes the newborn to hypoglycemia in
the first hours after delivery. It is important to check the newborn's blood glucose
Betamethasone causes
level within the first hour following birth and frequently thereafter until blood
glucose levels are stable.
The nurse should expect a newborn who scaphoid abdomen as abdominal contents have shifted into the chest cavity.
has congenital diaphragmatic hernia to decreased blood pressure and cyanosis
exhibit a cyanosis and respiratory distress, not petechiae.
A nurse is collecting data from a newborn Barrel-shaped chest The nurse should expect a newborn who has congenital
who has a congenital diaphragmatic hernia. diaphragmatic hernia to exhibit a barrel-shaped chest as the abdominal organs have
Which of the following findings should the shifted into the chest cavity.
nurse expect?
A nurse is collecting data from a newborn Assess the newborn's blood glucose level Infants who become cold attempt to
and notes an axillary temperature of 36°C generate heat through increased muscular and metabolic activity. This process
(96.9°F). Which of the following actions increases glucose consumption and puts the newborn at risk for hypoglycemia.
should the nurse take?
The nurse should not obtain a rectal the risk for rectal perforation. The nurse should obtain an axillary temperature.
temperature from a newborn due to
A. Massage the fundus C. Administer oxytocin with IV fluids D. Insert an indwelling
A nurse is assisting with the care of a client urinary catheter
who is 8 hours postpartum and is E. Place the client in a lateral position with her legs elevated 30° The nurse should
experiencing hemorrhage. Which of the massage the fundus to expel clots and assist the uterus to contract. Also, the nurse
following actions should the nurse should add oxytocin to the intravenous drip and insert an indwelling urinary catheter
implement after notifying the provider? to monitor urinary output and perfusion to the kidney. Finally, the nurse should place
(Select all that apply.) the client in a lateral position with her legs elevated 30°.
administer oxygen 10 L/min via nonrebreather face mask.
Carefully restrain the newborn during the procedure The nurse should carefully
restrain the newborn during the procedure to ensure the body and arms are still. This
A nurse is assisting the respiratory therapist
action avoids harming the child during the test.
with obtaining an arterial blood gas (ABG)
The newborn's heel is warmed with a warm cloth for a heel stick. An ABG specimen,
specimen from a newborn. Which of the
which requires more blood to be drawn, is taken from the newborn's arm.
following actions should the nurse take?
Pressure should be applied over the puncture site with a dry gauze square, not wet
gauze; it should be held in place for 3 to 5 minutes to prevent bleeding from the site.
skeletal muscle paralysis in newborns who are on a ventilator. Paralyzing newborns
Pancuronium is used for
keeps them from fighting the ventilator. This
A nurse is collecting data from a newborn The newborn has urinated once since the circumcision. A newborn should void 2 to 6
who was circumcised 24 hours ago. Which times a day the first 24 to 48 hours after birth and then 6 to 8 times per day starting
of the following findings should the nurse on the third day. Therefore, the nurse should report 1 void in 24 hours following
report to the provider? circumcision to the provider.
A scant amount of serosanguineous an expected finding 24 hours following a circumcision
drainage is
A yellow exudate forms on a circumcision removed and will remain for 2 to 3 days. Edema or odor at the site should be
site 24 hours after the procedure. This reported to the provider.
exudate should not be
the provider.
Inconsolable crying should be reported to A newborn may fuss or cry during diaper changes and cleaning of the circumcision
site until the site is healed.
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