The parents of a newborn male ask the nurse if they should circumcise their son. The best response by the nurse is: "Circumcision:
1. "Should be undertaken to prevent problems in the future."
2. "Might decrease the risk of developing a urinary tract infection."
3. "Can sometimes cause complications. What questions do you have?"
4. "Is painful, and should be avoided unless you are Jewish."
3
Rationale:
1. Although this is a common reason parents give for requesting circumcision, it is still an opinion not based in medical fact.
2. Although this is a true statement, getting more information from the parents about their questions or concerns is better.
3. Asking this question allows the nurse to determine what the questions or concerns are, and address them specifically.
4. Although circumcision can be painful, most providers administer a penile nerve root block to prevent or minimize procedural pain. Both Jewish and Muslim males are circumcised because of religious law or tradition.
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