Baby h.'s mother asks you about cord care and circumcision care for her infant. what should you tell her?

For cord care, the stump should be open to air and can be covered by thin mild clothing. If it is soiled or wet with urine and stool, it should be cleaned with water and a clean gauze cloth. The mother should notice that the stump should dry and turn black in 2-3 days. The average time for the cord separation is 10-14 days and some dried blood may be seen at the umbilicus at the time of separation.
Circumcision is a surgical procedure that involves removal of the foreskin of the glans penis. It is usually done to promote hygiene and easier cleaning. It is usually performed using surgical device like the Gomco clamp or the Mogen clamo. The nurse has to put petrolatum gauze dressing to the penis for 1-2 days to prevent the diaper hurting the surgical site. The nursing care involves reducing the pain and prevention of the infection. The circumcision should be assessed every 30 minutes for at least 2 hours. the nurse should observe for first voiding after the circumcision to check for urinary obstruction, if any, or penile injury or edema in the penile area. The dressing should be changed at least 3 times in the first 24 hours. fresh dressing should be done with the jelly and ointment application. Tylenol can be given to keep the infant free of pain, swelling, and infection. 

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