Practice Question
A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a circumcision with a Plastibell technique. Which of the following client statements indicates an understanding of circumcision care? (Select All that Apply.)
Answer Choices:
Correct Answer:
"I'll make sure his diaper is loose in the front"
Rationale:
“I’ll make sure his diaper is loose in the front.”
🔷Keeping the diaper loose in the front minimizes pressure and friction on the glans and the Plastibell ring, which reduces pain and protects the healing tissue.
🔷Reduced friction lowers the risk of disruption of the ligature and bleeding, two common early complications.
🔷A loose front also helps maintain a clean, dry environment, limiting moisture‑associated skin damage and irritation from urine.
🔷This positioning prevents the diaper edge from catching or tugging on the plastic ring, which must never be pulled.
🔷Parents should check for rubbing during changes and re‑adjust the diaper to maintain gentle coverage without compression.
“I’ll call the doctor if I see any bleeding.”
🔷After a Plastibell circumcision, only minimal spotting is expected; active or persistent bleeding is not normal and warrants provider notification.
🔷Caregivers may apply gentle pressure with sterile gauze for 3–5 minutes; if bleeding does not stop, they should seek medical care promptly.
🔷Early recognition of bleeding is vital to prevent significant blood loss in a newborn, who has limited reserves.
🔷Additional red flags to report include foul discharge, spreading redness, fever, or the ring sliding proximally.
🔷Emphasizing when to call supports safe home monitoring and reduces risk of delayed treatment.
“I’ll expect the plastic ring to fall off by itself within a week.”
🔷With the Plastibell technique, the tied ligature causes the foreskin to necrose distally, and the ring separates naturally in ~5–8 days (occasionally up to 10).
🔷Parents should never pull on the ring; it may darken before detaching, which is expected.
🔷Until the ring falls, cleansing should be gentle with water, keeping the area clean and dry (avoid alcohol or harsh wipes).
🔷A small amount of yellow mucous film/eschar can appear during healing and is normal, not pus.
🔷Sponge bathing is preferred until the ring separates, maintaining hygiene without soaking the site.
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This question is from Custom: NUR209 Final Assessment Su2. 2025 which contains 61 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Custom Exam(s)
- Answer Choices: 5