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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["84"]
Explanation
To determine the minimum dose for this child based on the reference safe dose range, follow these steps:
Reference safe dose range: Minimum dose = 7 mg/kg/day.
Child's weight: 12 kg.
Calculate the minimum dose:
Minimumdose=7 mg×12 kg=84 mg/day
Correct Answer is C
Explanation
A. Is a congenital condition where the layers of the intestinal wall do not form properly. – Incorrect. This describes congenital gastrointestinal disorders like duodenal atresia, not intussusception.
B. Results from the twisting of the intestine, causing a blockage in the passage of food. – Incorrect. This describes volvulus, which is different from intussusception.
C. Occurs when one segment of the intestine slides into another, which can cut off blood supply. – Correct. Intussusception is a telescoping of the intestine, leading to obstruction and ischemia.
D. Is a consequence of weakened abdominal muscles, allowing a portion of the intestine to bulge. – Incorrect. This describes a hernia, not intussusception.
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