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 D

Explanation

A. Change the formula to a nonmilk option to decrease colic symptoms. – Incorrect. Formula changes are not always necessary unless the infant has a suspected milk allergy.

B. Avoid holding or cuddling my baby to prevent colic symptoms. – Incorrect. Comforting measures like rocking can actually help soothe a colicky baby.

C. Give my baby a warm bath before bedtime to soothe colic symptoms. – Incorrect. While a warm bath may be comforting, burping is a more direct way to reduce gas buildup.

D. Burp my baby often during feedings to reduce gas. – Correct. Frequent burping helps prevent air accumulation, which can contribute to colic.

A. Amblyopia B. Hypotropia C. Otorrhea D. Exotropia

Correct Answer is A

Explanation

A. Amblyopia – Correct. Strabismus can lead to amblyopia (lazy eye) if left untreated.

B. Hypotropia – Incorrect. Hypotropia is a type of strabismus, not a complication.

C. Otorrhea – Incorrect. Otorrhea (ear drainage) is unrelated to strabismus.

D. Exotropia – Incorrect. Exotropia is another form of strabismus rather than a complication.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following statements by a parent of an infant with colic demonstrates an understanding of the teaching? I should:

Correct Answer is D

Explanation

A nurse is caring for a preschooler who has strabismus. Which of the following should the nurse identify as a possible complication of this condition?

Correct Answer is A

Explanation

A nurse is assisting with the plan of care for a 6-month.old infant who has a cleft palate. Which area should the nurse consider when addressing the child's overall development?

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36. A nurse is assessing a child who has experienced a febrile seizure. Which of the following factors should the nurse identify as the cause of the seizure?