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.
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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Related Questions
Correct Answer is C
Explanation
A. Stimulation methods may be used to engage the child's senses, but they are not primarily focused on keeping the child safe during a procedure like a lumbar puncture.
B. Therapeutic hugging can provide comfort and emotional support but may not directly address the safety needs of the child during the procedure.
C. Distraction methods, such as providing toys, games, or music, help divert the child's attention away from the procedure, reducing anxiety and promoting a sense of safety.
D. Therapeutic touch can be comforting but may not specifically address safety concerns during the procedure.
Correct Answer is B
Explanation
A. Puzzles are more related to cognitive skills than gross motor skills.
B. Participation in sports often involves various gross motor activities such as running, jumping, and throwing, making it a relevant question for assessing gross motor skills.
C. Playing instruments primarily involves fine motor skills rather than gross motor skills.
D. Constructing models may involve some fine motor skills but is not necessarily indicative of gross motor skills.
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