Editing Maternal and Newborn Nursing – LPN Practice Questions (section)

==Question 12==
An LPN reinforces discharge teaching for parents of a newborn who had a circumcision with a Plastibell device. Which statement by a parent indicates '''correct''' understanding?
# "I will remove the plastic ring after 24 hours."
# "I will call the doctor if I see any yellow film on the tip of the penis."
# "The ring will fall off on its own in about a week."
# "I will clean the area vigorously with alcohol wipes at each diaper change."

'''Answer:''' 3 (C). "The ring will fall off on its own in about a week."

''Rationale:'' The Plastibell ring separates and falls off on its own in roughly 5 to 8 days and is never removed by a caregiver, which makes option 1 incorrect and potentially injurious. Option 2 is incorrect because a yellowish exudate or film on the glans appearing within a day or two is normal granulation tissue and healing; it is '''not''' wiped away and is not a sign of infection. Option 4 is incorrect; alcohol is painful and damaging, and the area is cleaned gently with warm water. Parents should report bleeding more than a few drops, failure to void within 6 to 8 hours, foul odor, or swelling with fever.