The parents of a newborn male ask the nurse whether 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 child's 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.
Rationale 2: Although this is a true statement, getting more information from the parents about their questions or concerns would be better.
Rationale 3: Asking this question allows the nurse to determine what the parents' concerns are, then address them specifically.
Rationale 4: Although circumcision can be painful, most providers administer a penile nerve root block to prevent or minimize procedural pain. Circumcision is practiced in many religions and traditions.
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