A nurse is reinforcing teaching about circumcision care with the parent of an infant who just underwent a Plastibell circumcision. Which of the following statements by the parent indicates an understanding of the teaching?
A.
“I will apply antibiotic ointment to my baby’s penis.”
B.
“I will make sure that my baby’s diaper is applied snugly.”
C.
“I will wipe away yellow crusts that form around the incision.”
D.
“I will apply pressure with gauze if I see bleeding.”
The Correct answer and Explanation is:
The correct answer is D. “I will apply pressure with gauze if I see bleeding.”
After a Plastibell circumcision, specific care instructions are crucial for promoting healing and preventing complications. The Plastibell method involves placing a plastic ring around the foreskin, which separates it from the glans (the tip of the penis). This method does not typically require applying ointments or creams, and bleeding can occur after the procedure, making it essential for parents to know how to manage it.
Explanation of the Other Options:
- A. “I will apply antibiotic ointment to my baby’s penis.”
This statement is incorrect because applying antibiotic ointment is generally not recommended for Plastibell circumcision. The area should be kept clean and dry, and using ointments may create an environment that is not conducive to healing. - B. “I will make sure that my baby’s diaper is applied snugly.”
This statement is also incorrect. While keeping the diaper secure is important, it should not be applied too snugly, as this can cause pressure on the circumcision site and lead to complications such as irritation or bleeding. - C. “I will wipe away yellow crusts that form around the incision.”
This is misleading because the yellow crusts that may form are a normal part of the healing process, often scabs or exudate. Parents should not wipe these away as it can disrupt the healing tissue and potentially cause bleeding or infection.
In summary, option D is the most appropriate response as it emphasizes the correct action to take if bleeding occurs, which is a potential complication after the procedure. Parents should be taught to gently apply pressure with sterile gauze to control any bleeding and seek medical advice if bleeding persists or if they notice any signs of infection or unusual discharge.