A nurse is caring for a newborn who has exstrophy of the bladder.
Which of the following actions should the nurse take prior to the beginning of surgical correction?
Restrict the newborn's fluid intake.
Keep the newborn in a side-lying position.
Cover the newborn's bladder with a sterile, non-adherent dressing.
Exert gentle pressure on the newborn's bladder with sterile gauze.
Exert gentle pressure on the newborn's bladder with sterile gauze.
The Correct Answer is C
A nurse caring for a newborn who has exstrophy of the bladder should cover the newborn’s bladder with a sterile, non-adherent dressing prior to the beginning of surgical correction.
Choice A is incorrect because it is not necessary to restrict the newborn’s fluid intake.
Choice B is incorrect because it is not necessary to keep the newborn in a side- lying position.
Choice D is incorrect because it is not appropriate to exert gentle pressure on
the newborn’s bladder with sterile gauze.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is the most common symptom of placenta previa and can occur after 20 weeks of gestation.
Choice B is incorrect because a persistent headache is not a known symptom of placenta previa.
Choice C is incorrect because uterine hypertonicity is not a known symptom of placenta previa.
Choice D is incorrect because a firm, rigid abdomen is not a known symptom of placenta previa.
Correct Answer is C
Explanation
A nurse caring for a newborn who has exstrophy of the bladder should cover the newborn’s bladder with a sterile, non-adherent dressing prior to the beginning of surgical correction.
Choice A is incorrect because it is not necessary to restrict the newborn’s fluid intake.
Choice B is incorrect because it is not necessary to keep the newborn in a side- lying position.
Choice D is incorrect because it is not appropriate to exert gentle pressure on
the newborn’s bladder with sterile gauze.
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