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 C

Explanation

A. Treating all children the same regardless of their culture may not address the unique needs and preferences of each individual.
B. Researching the child's culture is an important aspect of cultural competence, but providing care solely based on findings may not fully address the individualized needs of the child and family.
C. Negotiating a care plan with the child and family involves collaborative decision- making and respects the cultural beliefs and values of the family.
D. Providing future-based care for culturally diverse children may not be specific to the individual needs and preferences of each child and family.

A. Only inpatient consultations with families B. Emergency room interventions for children and families C. Activities to support normal growth and development D. Grief and bereavement support E. Medical preparation for tests, surgeries, and other medical procedures F. Support before and after, but not during, medical procedures

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

Explanation

A. Child life specialists (CLS) provide support not only to inpatients but also to children and families across various healthcare settings, including outpatient clinics, emergency rooms, and specialty care centers.
B. CLSs provide interventions and support in emergency room settings to help minimize stress and anxiety for children and families during medical emergencies.
C. CLSs organize activities and interventions tailored to the developmental needs of children to promote normal growth and development during hospitalization.
D. CLSs offer grief and bereavement support to children and families coping with loss or end-of-life situations.
E. CLSs provide medical preparation, including age-appropriate explanations and coping strategies, to help children understand and cope with medical procedures, tests, and surgeries.
F. CLSs offer support not only before and after medical procedures but also during them, providing emotional support, distraction techniques, and coping strategies to help children cope with stress and discomfort.

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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.

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Naxlex Comprehensive Predictor Exams

The nurse strives to provide culturally competent care for children in a health clinic that follows the principles of health supervision. Which nursing action reflects this type of care?

Correct Answer is C

Explanation

The nurse is consulting with a child life specialist (CLS) to help minimize the stress of hospitalization for a child. Which services would the CLS provide? Select all that apply.

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

Explanation

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