A nurse on a mother-baby unit is caring for a 2-day-old baby boy. The patient was seen by a urologist at 0000 and was diagnosed with hypospadias, Which order by the pediatrician is contraindicated?

Force fluids appropriate in age: It's important to ensure that the child receives an appropriate amount of fluids, taking into consideration their age and weight. This helps prevent dehydration and maintain adequate circulation.
In addition to option A, other important nursing care measures for infants and children with congestive heart failure include:
B. Organize activities to allow for uninterrupted sleep: Infants and children with heart failure may become fatigued easily, so it's important to create an environment that allows for sufficient rest and sleep.
C. Monitor respirations during active periods: Monitoring the child's respiratory rate and effort during active periods helps assess for signs of respiratory distress, which can be a manifestation of congestive heart failure.
D. Give smaller, more frequent feedings to conserve energy: Smaller, more frequent feedings can help reduce the energy expenditure required for digestion, making it easier for the child to eat and conserve energy for growth and development.
The focus of nursing care is to manage the symptoms of heart failure, support the child's overall well-being, and prevent complications. The specific interventions may vary based on the child's age, the severity of heart failure, and the underlying cause.

The congenital heart diseases that often require multiple surgeries to correct are:

A. Tetralogy of Fallot: Tetralogy of Fallot usually requires staged surgical repairs, with multiple surgeries performed over time to address the various components of the defect.

B. Hypoplastic Left Heart Syndrome: Hypoplastic Left Heart Syndrome typically requires a series of staged surgeries, including the Norwood procedure, Glenn procedure, and Fontan procedure, to manage the condition.

E. Coarctation of the Aorta: Coarctation of the aorta may require multiple surgeries or interventions, depending on the severity of the coarctation and the associated cardiovascular abnormalities.

C. Atrial Septal Defect (ASD) and D. Ventricular Septal Defect (VSD) usually do not require multiple surgeries for correction. These defects can often be repaired with a single surgical intervention or may close spontaneously without surgery in some cases.

It's important to note that the necessity for multiple surgeries can vary based on the individual patient's condition and the specific anatomical details of the heart defect. Treatment plans are typically tailored to each patient's needs and can include a combination of surgical and medical interventions.