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.

Answer and Explanation

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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Correct Answer is ["A","B","C","D","E"]

Explanation

A. Providing early feedings can help prevent hypoglycemia, a common complication of polycythemia.
B. Maintaining oxygen saturation parameters, which can indicate the adequacy of tissue oxygenation and perfusion.
C. Obtaining hemoglobin and hematocrit laboratory tests is essential for diagnosing and monitoring polycythemia.
D. Polycythemic neonates may have decreased urinary output due to reduced renal blood flow, dehydration, or increased risk of thrombosis. The nurse should monitor the urinary output and report any signs of oliguria, anuria, hematuria, or renal failure.
E. A peripheral IV is a catheter inserted into a vein to administer fluids, medications, or blood products. Polycythemic neonates may require a partial exchange transfusion, which is a procedure where some of the neonate's blood is removed and replaced with normal saline or donor blood. This can help lower the hematocrit and viscosity and improve oxygen delivery and tissue perfusion. The nurse should insert a peripheral IV and prepare for the transfusion as ordered by the physician.

A. Change the routine of the preschooler often to stimulate initiative. B. Reward the child for initiative in order to build self-esteem. C. As a parent, decide how and with whom the child will play D. Do not set limits on the preschooler's behavior as this results in low self-esteem.

Correct Answer is B

Explanation

A. Changing routines frequently might confuse the child rather than stimulate initiative.
B. Rewarding the child for showing initiative positively reinforces the behavior and encourages further development.
C. Allowing the child to make choices about playmates can foster independence but may not directly stimulate initiative.
D. Setting appropriate limits is important for a child's development, but not setting any limits can lead to behavioral issues rather than promoting initiative.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 20-hour-old neonate is suspected of having polycythemia. Which nursing intervention(s) will the nurse utilize to provide care for this neonate? Select all that apply.

Correct Answer is ["A","B","C","D","E"]

Explanation

The nurse is explaining to parents that the preschooler's developmental task is focused on the development of initiative rather than guilt. What is a priority intervention the nurse might recommend for parents of preschoolers to stimulate initiative?

Correct Answer is B

Explanation

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