A visiting nurse is making a home visit on a male 2-month-old child who was born prematurely. The nurse notes that the child has not been circumcised. What action by the nurse is most important?
A.
Assess the number of the baby's wet diapers per day.
B.
Give parents a referral to have the child circumcised.
C.
Instruct parents not to retract the foreskin until after age 1.
D.
Teach parents to retract the foreskin for cleaning.
ANS: C
The foreskin of an uncircumcised male baby should not be forcibly retracted until after he is 1 year of age. Assessing the number of wet diapers per day is important for any infant and is not directly related to the uncircumcised baby. The nurse should not just give a referral for circumcision, as the parents have chosen the option of not circumcising their baby, which may be for personal, religious, or cultural reasons. After 1 year of age, the foreskin will need to be retracted for cleaning. It should be returned to its original position afterward.
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