What is the appropriate method to protect the sac in a newborn with spina bifida prior to repair?

Cover the defect with a dry gauze dressing

Position the newborn supine for initial resuscitation

Cover with a sterile moist saline dressing

Perform frequent skin assessments and apply skin barrier.

Answer and Explanation

The Correct Answer is C

A. Cover the defect with a dry gauze dressing – Incorrect. Dry dressings can adhere to the sac and cause damage.

B. Position the newborn supine for initial resuscitation – Incorrect. The newborn should be positioned prone (on the stomach) to prevent pressure on the sac.

C. Cover with a sterile moist saline dressing – Correct. This keeps the sac moist, prevents drying and cracking, and reduces the risk of infection before surgery.

D. Perform frequent skin assessments and apply skin barrier – Incorrect. While skin assessments are important, applying a barrier is not appropriate for protecting the sac.

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

Explanation

A. The child’s parent applies the prescribed medication instructed. – Correct. Proper administration of medication helps prevent infection and promotes healing.

B. The parent allows their child to attempt to lift their older sibling above the ground. – Incorrect. Strenuous activities should be avoided to prevent tube displacement.

C. The child’s parent enforces nose blowing when necessary. – Incorrect. Nose blowing should be avoided as it can increase pressure and dislodge the tubes.

D. The child’s parent states that they developed a plan to have their child use earplugs in the shower. – Correct. Water should be kept out of the ears to prevent infection.

E. The parent noticed purulent drainage from their child's ear and immediately reported it to the surgeon. – Correct. Reporting drainage helps identify potential infections early.

A. I need to check food labels for hidden sources of gluten, like barley and rye." B. I can still enjoy oatmeal for breakfast." C. My family should use separate serving utensils for gluten-free foods." D. I need to avoid foods like bread. pasta. and cereal."

Correct Answer is B

Explanation

A. "I need to check food labels for hidden sources of gluten, like barley and rye." – Correct. Gluten is found in wheat, rye, barley, and some processed foods.

B. "I can still enjoy oatmeal for breakfast." – Incorrect. Oats can be contaminated with gluten unless labeled gluten-free.

C. "My family should use separate serving utensils for gluten-free foods." – Correct. Preventing cross-contamination is essential in managing celiac disease.

D. "I need to avoid foods like bread, pasta, and cereal." – Correct. These typically contain gluten, unless specifically made gluten-free.

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What is the appropriate method to protect the sac in a newborn with spina bifida prior to repair?

Nursing Test Bank

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Explanation

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What is the appropriate method to protect the sac in a newborn with spina bifida prior to repair?