A nurse is assessing a newborn infant following circumcision and notes that the circumcised area is reed with a small amount of bloody drainage. Which of the following nursing actions would be most appropriate?
  1. Document findings
  2. Contact the physician
  3. Circle the amount of bloody drainage on the dressing and reassess in 30 minutes
  4. Reinforce the dressing
Explanation
Answer: A - The penis is normally red during the healing process. Yellow exudates may be noted in 24 hours, and this is part of normal healing. The nurse would expect that the area would be red with a small amount of bloody drainage.
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