Problem: Baby Boy James was born 1 hour ago with a vacuum-assisted delivery. He is a full-term (39 2/7 weeks gestation) newborn weighing 8 lb. 6 oz. His Apgar scores were 8 at 1 minute and 9 at 5 minutes. The parents of James are participating in the mother-baby care program at the hospital where he was born because they feel this arrangement will help the mother to breastfeed him. James will be circumcised the day of discharge to home