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 D
Explanation
A. This response may cause unnecessary concern as it implies the child is below average height, which is not necessarily true.
B. While nutrition is important for growth, it's not appropriate to assume the child's height is solely due to nutritional factors without further assessment.
C. While heredity may play a role in height, assuming this without further evaluation may overlook other potential causes of short stature.
D. This response acknowledges the parents' concern while reassuring them that short stature during the preschool years is common and children often catch up in height during early childhood.
Correct Answer is ["A","D","E"]
Explanation
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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