An infant has been admitted to the Neonatal Intensive Care Unit ...

[skymedlock]

An infant has been admitted to the Neonatal Intensive Care Unit (NICU) with a congenital gastroschisis. Which intervention should the nurse perform first upon admission to the unit?
 
  a. Place the infant flat and prone.
  b. Cover the defect with sterile warm, moist gauze and wrap with plastic.
  c. Begin a gestational age assessment.
  d. Wrap the infant in a warm blanket and allow the father to hold the infant briefly.

Question 2

A nurse is assisting a child with inflammatory bowel disease to choose items from the dietary menu. Which dietary item should be avoided because it is high in residue?
 
  a. Eggs
  b. Cheese
  c. Grapes
  d. Jello

[ladyjames123]

Answer to Question 1

B
Gastroschisis is the protrusion of intraabdominal contents through a defect in the abdominal wall lateral to the umbilical ring. There is no peritoneal sac. The defect should be immediately wrapped in warm, moist, sterile gauze and covered with plastic to keep moist. The infant cannot be placed prone as more damage could occur to the defect. Movement of the infant should be minimized so gestational age assessment and parental holding would be done after the infant is stabilized.

Answer to Question 2

C
Fruits with skins or seeds should be avoided because they are high in residue. Cooked or canned fruits and vegetables without skins are allowed. Eggs, cheese, and Jello would be allowed on a low residue diet.