Practice Quiz

CCRN Critical Care Nursing

Category - Neonatal

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A nurse has provided directions to a mother of a male newborn infant who is not circumcised about measures to clean the penis. Which statement if made by the mother indicates an understanding of how to clean the newborn infant’s penis?
  1. “I need to retract the foreskin and clean the penis every time I give my infant a bath.”
  2. “I should gently retract the foreskin as far as it will go on the penis and then pull the skin back over the penis after cleaning.”
  3. “I should retract the foreskin and clean the penis every time I changed the diaper.”
  4. “I need to avoid pulling back the foreskin to clean the penis because this may cause adhesions.”
Explanation
Answer: D - In male newborn infants, prepuce is continuous with the epidermis of the glans and is not retractable. If retraction is forced, this may cause adhesions to develop. The mother should be told to allow separation to occur naturally, which usually occurs between 3 years and puberty. Most foreskins are retractable by 3 years of age and should be pushed back gently at this time of cleaning once a week.
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