An infant born with an omphalocele defect is admitted to the intensive care nursery. Which instruction from the nurse manager to the unlicensed assistive personal is most appropriate?
Prepare a warmer
Prepare a crib
Prepare a feeding of formula
Prepare the bilirubin light
The Correct Answer is A
a) Prepare a warmer: Infants born with omphalocele defects require careful temperature regulation due to potential heat loss through the exposed abdominal contents. Using a warmer helps maintain the infant's body temperature.
b) Prepare a crib: While necessary for the infant, temperature regulation is a more immediate concern.
c) Prepare a feeding of formula: Feeding might be necessary but is not the most urgent need for an infant with an omphalocele.
d) Prepare the bilirubin light: Bilirubin lights are used for treating jaundice, which might not be an immediate concern for an infant with an omphalocele defect.
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Related Questions
Correct Answer is C
Explanation
a) Passive transplacental immunity from maternal immunoglobulin G: While this provides some initial immunity, it does not fully account for the susceptibility to infections in newborns and young infants.
b) Exposure to microorganisms during the birth process: Though exposure can occur during birth, it is not the primary reason for heightened susceptibility to infections.
c) Low levels of antibodies: Newborns and young infants have underdeveloped immune systems and fewer antibodies, making them more vulnerable to infections.
d) High level of maternal antibodies to diseases to which the mother has been exposed: Maternal antibodies initially provide some protection, but they gradually decline, contributing to the infant's susceptibility to infections.
Correct Answer is C
Explanation
a) Poker chip tool: Typically used for older children who can understand and articulate pain levels.
b) Faces pain rating scale: Also used for older children who can express themselves using facial expressions.
c) FLACC pain scale: Designed for non-verbal or pre-verbal children, assessing facial expressions, leg movement, activity, cry, and consolability.
d) Duchar scale: There isn't a widely recognized pain assessment tool known as the "Duchar scale" in pediatric pain management
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