What is the appropriate method to protect the sac in a newborn with spina bifida prior to repair?

Cover the defect with a dry gauze dressing

Position the newborn supine for initial resuscitation

Cover with a sterile moist saline dressing

Perform frequent skin assessments and apply skin barrier.

Answer and Explanation

The Correct Answer is C

A. Cover the defect with a dry gauze dressing – Incorrect. Dry dressings can adhere to the sac and cause damage.

B. Position the newborn supine for initial resuscitation – Incorrect. The newborn should be positioned prone (on the stomach) to prevent pressure on the sac.

C. Cover with a sterile moist saline dressing – Correct. This keeps the sac moist, prevents drying and cracking, and reduces the risk of infection before surgery.

D. Perform frequent skin assessments and apply skin barrier – Incorrect. While skin assessments are important, applying a barrier is not appropriate for protecting the sac.

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Correct Answer is C

Explanation

A. Allow my child to resume normal activities, including physical education, the day after the surgery. – Incorrect. Strenuous activity should be avoided for at least 1–2 weeks post-op.

B. Make sure my child takes aspirin for pain relief after the surgery. – Incorrect. Aspirin is contraindicated in children due to the risk of Reye’s syndrome.

C. Monitor my child for signs of bleeding such as frequent swallowing or vomiting blood. – Correct. Frequent swallowing can indicate bleeding from the surgical site.

D. Give my child hard, crunchy foods to eat after the surgery. – Incorrect. Soft foods are recommended to prevent irritation and bleeding.

Correct Answer is ["8"]

Explanation

Determine the concentration: 25,000 units / 250 mL = 100 units/mL.

Calculate the mL/hr rate: 800 units/hr / 100 units/mL = 8 mL/hr.

Therefore, the nurse should set the pump to deliver 8 mL/hr.

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What is the appropriate method to protect the sac in a newborn with spina bifida prior to repair?

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Naxlex Comprehensive Predictor Exams

When providing teaching to parents of a child undergoing a tonsillectomy, which of the following statements indicates an understanding of the teaching? I will :

Correct Answer is C

Explanation

Heparin is prescribed to run 800 units/hr. The medication is supplied as 25,000 units per 250 mL. At what rate should the nurse set the not use a trailing zero,do not use a leading zero Round to a whole number)

Correct Answer is ["8"]

Explanation

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What is the appropriate method to protect the sac in a newborn with spina bifida prior to repair?

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