NCLEX-RNHealth Promotion and MaintenanceHard
A nurse is providing discharge teaching to the parents of a 3-day-old infant who was circumcised. The parents ask about normal healing and care. Which of the following findings should the nurse instruct the parents to report to the provider immediately?
- AA small amount of yellowish crusting on the glans.
- BThe presence of a faint odor from the diaper area.
- CMild swelling and redness around the circumcision site.
- DNo urination for 12 hours after the procedure.
Show answer & explanationAnswer & explanation
Correct answer: D. No urination for 12 hours after the procedure.
No urination for 12 hours after circumcision is a critical finding that could indicate urinary retention, urethral injury, or a blockage, which requires immediate medical evaluation to prevent complications like kidney damage or severe discomfort. The other options describe normal findings or minor issues.
Why the other options are wrong
- A. Yellowish crusting (granulation tissue) is a normal part of the healing process after circumcision and should not be removed.
- B. A faint odor can be normal, especially if the diaper is slightly wet or soiled. A strong, foul odor would be concerning, but 'faint' is typically not an immediate red flag.
- C. Mild swelling and redness are expected inflammatory responses to the procedure and typically subside within a few days. Significant or increasing swelling/redness would be concerning, but 'mild' is normal.
Circumcision Post-Care Red Flags
Signs and symptoms after a newborn circumcision that indicate a potential complication and require immediate medical attention.
- No urination for 6-12 hours.
- Excessive bleeding.
- Signs of infection (pus, fever).
- Increasing redness/swelling/pain.
Memory trick: Bleed, Pee, Swell, Infect