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 B
Explanation
The nurse should demonstrate how to hold the newborn and allow the client to
practice.
This will help the mother learn how to properly hold her baby and feel more confident in her ability to care for her newborn.
Choice A is not the best answer because insisting that the mother pick up the
newborn to feed him may make her feel uncomfortable or pressured.
Choice C is not the best answer because persuading the client to breastfeed the newborn to promote bonding may not be appropriate if the mother has chosen to botle-feed her baby.
Choice D is not the best answer because offering to take the newborn to the nursery to finish his feeding may not address the mother’s concerns about holding her baby.
Correct Answer is D
Explanation
Answer: D
Rationale:
(A) "Your partner will apply continuous, firm pressure between your thumb and index finger": This statement is not appropriate for describing counterpressure during labor. Counterpressure typically involves applying pressure to areas such as the lower back or sacrum, not between the thumb and index finger.
(B) "Your partner will apply pressure to the top of your uterus during contractions": This statement is not appropriate. Applying pressure to the top of the uterus during contractions could be harmful and is not recommended as a counterpressure technique during labor. Counterpressure is generally applied to the lower back or hips to alleviate pain.
(C) "Your partner will apply steady pressure with a tennis ball to your finger": This statement is not correct. Counterpressure during labor involves applying pressure to the lower back or hips, not to the fingers. A tennis ball may be used, but it is applied to the lower back or sacral area, not the fingers.
(D) "Your partner will apply upward pressure on you": This statement is appropriate. During labor, counterpressure is often applied by the partner to the lower back or hips, pressing upward or in a direction that helps alleviate the pain caused by contractions, particularly in cases of back labor. This technique can help relieve discomfort by counteracting the pressure from the baby's head against the mother's spine.
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