A preterm newborn is admitted to the neonatal intensive care with the diagnosis of an omphalocele. What nursing actions would the nurse perform? Select all that apply.
Fluid loss of the neonate will be minimized.
Neonatal weight loss will be prevented.
Assessment of hyperbilirubinemia will be monitored.
Perfusing to the exposed abdominal contents will be maintained.
The abdominal contents are protected.
Correct Answer : A,D,E
A. Minimizing fluid loss is important in the care of a neonate with an omphalocele to prevent dehydration.
B. Preventing neonatal weight loss is not directly related to the care of an omphalocele.
C. While monitoring for hyperbilirubinemia is important in neonatal care, it's not specific to the care of an omphalocele.
D. Maintaining perfusion to the exposed abdominal contents is essential for preventing complications such as ischemia or necrosis.
E. Protecting the abdominal contents helps prevent infection and trauma to the exposed organs.
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Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. The mother is experiencing multiple stressors that may affect her parenting abilities and emotional well-being. She may show signs of depression, such as lack of interest, detachment, irritability, or hopelessness.
B. Voicing pride in the academic accomplishments of her child suggests is highly unlikely. She will not be engaged with her children.
C. Utilizing the correct size of infant car seat is a basic safety measure and may not necessarily indicate the impact of recent stressors on parenting behaviors.
D. This is a possible effect of stress, as the mother may be more likely to seek help or advice from others due to her feeling overwhelmed and incompetent as a parent. Asking for suggestions is a way of showing openness, curiosity, and learning, which are important for the parent's growth and adaptation.
E. Becoming very frustrated and expressing difficulty handling her toddler's temper tantrum may be indicative of increased stress and reduced coping abilities due to recent stressors.
Correct Answer is ["B","C","D","E","F"]
Explanation
A. Past medical history is important but may not directly address current psychosocial concerns related to the child's asthma.
B. Transportation to healthcare facilities can be a significant psychosocial issue, as it may impact access to care and treatment adherence.
C. Assessing health maintenance needs can uncover barriers to care and support required for managing the chronic illness.
D. The nurse should discuss with the child and the family the goals and expectations for the child's asthma control and quality of life. The nurse should also inform them about any new or alternative therapies that may be available or suitable for the child.
E. The school's response to the chronic illness can affect the child's social and emotional well-being.
F. Health insurance coverage may impact the child's access to necessary healthcare services and medications, influencing their psychosocial experiences.
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