NR 327 Maternal Child Nursing Exam 3 Study Guide

Exam 3 Study Guide Chapter 23 Circumcision:  Circumcision Care:  Pre-procedure: o Informed Consent necessary before procedure is performed o Infant is stable o Infant has received Vitamin K injection to prevent excessive bleeding  Post-procedure: o Observe bleeding during each diaper change o Apply petroleum jelly after each diaper change for the 1st 4-7 days  Unless Plastibell was used o Keep site clean by squeezing warm water from a clean washcloth over the penis to cleanse o Fasten diaper loosely to prevent rubbing or pressure on incision site o Yellow crust or scab should form over the incision site  Normal  Do not remove  Will fall off within 7-10 days  If Plastibell was used it will fall off within 7-10 days  If falls off sooner or later notify Physician o Heals in approximately 10 days  Pain Care:  Pre-surgery: o EMLA (Eutectic Mixture of Local Anesthetics) cream o Dorsal Penile Nerve Block  Post-surgery: o Acetaminophen o Pacifiers o Oral Sucrose o Decreased lights, soothing music, and talking softy to infant  Non-circumcision Care:  Wash infant’s penis daily and during diaper changes  Do not retract the foreskin because it does not separate till 3-6 years of age  Gently pull back foreskin to see how much separation has occurred, Never Force  Teach child to take care of his penis by retracting foreskin and washing underneath it Safe sleeping:  Nothing in the bed with the baby  No bumpers in the crib  Crying, prevention of AHT (shaken baby):  Chapter 24 Teen pregnancy:  Require higher Intake of Calcium and Iron