An infant has been admitted to the Neonatal Intensive Care Unit (NICU) with congenital gastroschisis. Which intervention should the nurse perform first upon admission to the unit?

Place the infant flat and prone.

Wrap the infant in a warm blanket and allow the father to hold the infant briefly.

Cover the defect with warm, moist gauze and plastic.

Encourage breastfeeding to promote maternal bonding.

Answer and Explanation

The Correct Answer is C

Choice A reason: Placing the infant flat and prone is not the first priority in the care of an infant with gastroschisis.
Choice B reason: While providing warmth and promoting bonding are important, they are not the immediate priority upon admission for an infant with gastroschisis.
Choice C reason: This is the correct choice. The exposed abdominal organs in gastroschisis must be protected immediately to prevent heat and fluid loss and to reduce the risk of infection.
Choice D reason: Breastfeeding is important for bonding and nutrition but is not the first intervention for an infant with gastroschisis.

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Correct Answer is C

Explanation

Choice A reason: This statement is incorrect; children's bones actually heal faster than those of adults due to a more robust blood supply and the presence of growth factors.

Choice B reason: Growth in children does not occur due to an increase in the number of muscle fibers; rather, it happens through the lengthening of existing fibers.

Choice C reason: Children's bones do have decreased density compared to adults, which is why they are more flexible and less likely to break.

Choice D reason: The statement about decreased blood flow in children's bones is incorrect; children typically have a higher blood flow in their bones, which contributes to their faster healing process.

A. Does not cry if parents return and leave again B. Lies quietly in bed C. Screams and cries when parents leave D. Appears to be happy and content with staff

Correct Answer is B

Explanation

Choice A reason: Not crying if parents return and leave again may indicate the child has moved past the initial protest stage but does not necessarily indicate despair.
Choice B reason: This is the correct choice. Lying quietly in bed can be a sign of the despair stage, where the child has given up hope of the parents' return and appears withdrawn.
Choice C reason: Screaming and crying when parents leave is characteristic of the protest stage, not the despair stage.
Choice D reason: Appearing happy and content with staff may indicate the child has reached the detachment stage, which follows despair and involves the child forming new attachments.

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An infant has been admitted to the Neonatal Intensive Care Unit (NICU) with congenital gastroschisis. Which intervention should the nurse perform first upon admission to the unit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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