Maternity Nursing Q 15

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Which of the following would the nurse in charge do first after observing a 2-cm circle of bright red bleeding on the diaper of a neonate who just had a circumcision?

  

     A. Notify the neonate’s pediatrician immediately.

     B. Check the diaper and circumcision again in 30 minutes.

     C. Secure the diaper tightly to apply pressure on the site.

     D. Apply gentle pressure to the site with a sterile gauze pad.

    

    

Correct Answer: D. Apply gentle pressure to the site with a sterile gauze pad

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If bleeding occurs after circumcision, the nurse should first apply gentle pressure on the area with sterile gauze. Bleeding is not common but requires attention when it occurs.

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Option A: Immediate nursing intervention and assessment should be done first before notifying the physician.

Option B: 30 minutes is a long time to reassess. Addressing the bleeding immediately may save it from getting worse.

Option C: Tightening the diaper may elicit a case of diaper rash. Applying direct pressure on the bleeding site is more effective.

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