A nurse is caring for a newborn who has exstrophy of the bladder.
Which of the following actions should the nurse take prior to the beginning of surgical correction?
Restrict the newborn's fluid intake.
Keep the newborn in a side-lying position.
Cover the newborn's bladder with a sterile, non-adherent dressing.
Exert gentle pressure on the newborn's bladder with sterile gauze.
Exert gentle pressure on the newborn's bladder with sterile gauze.
The Correct Answer is C
A nurse caring for a newborn who has exstrophy of the bladder should cover the newborn’s bladder with a sterile, non-adherent dressing prior to the beginning of surgical correction.
Choice A is incorrect because it is not necessary to restrict the newborn’s fluid intake.
Choice B is incorrect because it is not necessary to keep the newborn in a side- lying position.
Choice D is incorrect because it is not appropriate to exert gentle pressure on
the newborn’s bladder with sterile gauze.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A nurse should discontinue oxytocin if the client experiences uterine hyperkinesia, which is defined as more than 5 contractions in 10 minutes.
Choice B is not correct because contractions lasting 60 seconds are within the normal range.
Choice C is not correct because moderate variability of the fetal heart rate is a reassuring sign.
Choice D is not correct because nonrepetitive early decelerations are generally considered benign and do not require intervention.
Correct Answer is C
Explanation
During phototherapy, one or more lights will be placed above the newborn.
The newborn will be undressed except for a diaper and placed on their back to absorb the most light.
Eye covers will be used to protect their eyes from the light.
Choice A) is not correct because glucose water is not mentioned as necessary during phototherapy.
Choice B) is not correct because the newborn should be undressed except for a
diaper during therapy.
Choice D) is not correct because applying lotion to the newborn’s skin is not mentioned as necessary during phototherapy.
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