Question

Johnny is a 2 day old baby boy to a first time Mom. He has been circumcised this AM. You need to do discharge teaching to Mom and Dad on circumcision care and cord care. Please put into words that you would say to the parents not the words of the book!

Answer 1

Discharge teaching to Mom and Dad on circumcision care

• Healing takes about 2 weeks.
• The wound will swell a little. Or it may bleed a little around the incision.
• Your baby may cry at first when he urinates.That's normal
• Give your child pain relievers as instructed by your baby's healthcare provider.
• Coat the sore area with petroleum jelly every time you change your baby's diaper during the first 2 weeks.
• Use a soft washcloth and warm water to gently clean your baby's wound if it has stool on it.
• Don't dry the wound with a towel. Let it air dry after cleaning.
• You will probably see a crust of blood, where the foreskin was removed. Don't rub off the crust or it may bleed.
• To help prevent infection, change your baby's diapers right away after he urinates

Discharge teaching to Mom and Dad cord care.

• Your baby’s umbilical cord will fall off in 7-10 days.
• It must be kept clean and dry.
• Fold your baby’s diaper below the stump so it’s exposed to the air and not to urine
• Clean off the base of the stump with a cotton swab or gauze pad dipped in a little bit of rubbing alcohol with each diaper change to prevent infection,
• While waiting for the cord to heal, avoid tub baths until the area heals completely
• In warm weather, keep your baby only in a diaper and T-shirt to let air circulate and aid the drying process.
• Avoid bodysuit-style undershirts until the cord has fallen off.