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 ["B","C","D","E"]
Explanation
A. Hyperthermia is not typically associated with an increased risk of necrotizing enterocolitis.
B. Low Apgar scores indicate that the baby had difficulty adapting to life outside the womb and may have suffered from hypoxia or acidosis.
C. Preterm birth is a significant risk factor for necrotizing enterocolitis.
D. Respiratory distress syndrome is associated with prematurity and is a risk factor for necrotizing enterocolitis.
E. Exchange transfusion, a procedure often performed in neonates with severe jaundice or anemia, is associated with an increased risk of necrotizing enterocolitis.
F. Hyperglycemia is not typically associated with an increased risk of necrotizing enterocolitis.
Correct Answer is A
Explanation
A. Acknowledging the child's fear and helping her develop coping strategies is a supportive approach to address the fear of cats and dogs.
B. Avoiding the playground may reinforce the fear rather than helping the child overcome it.
C. Forcing the child to face her fears may exacerbate her anxiety and is not recommended.
D. Minimizing the child's fears and insisting that she go to the park may invalidate her feelings and increase her distress.
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