Author Question: An infant born with an omphalocele defect is admitted to the intensive-care nursery. Which ... (Read 63 times)

stock · **on:** Jun 28, 2018

An infant born with an omphalocele defect is admitted to the intensive-care nursery. Which instruction from the nurse manager to the unlicensed assistive personnel is most appropriate?

1. Prepare a warmer.
2. Prepare a crib.
3. Prepare a feeding of formula.
4. Prepare the bilirubin light.

Question 2

The nurse is evaluating an infant's tolerance of feedings after a pyloromyotomy. Which finding indicates that the infant is not tolerating the feeding?

1. Need for frequent burping
2. Irritability during feeding
3. The passing of gas
4. Emesis after two feedings

perkiness · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 1
Rationale: Omphalocele is a congenital malformation in which intra-abdominal contents herniate through the umbilical cord. The infant many lose heat through the viscera; a warmer is indicated to prevent hypothermia. The crib would not provide adequate maintenance of temperature control. The infant is NPO (nothing by mouth) preoperatively and may or may not need a bilirubin light before surgery.

Answer to Question 2

Correct Answer: 4
Rationale: An infant is not tolerating feedings after a pyloromyotomy if emesis is present. Frequent burping, irritability, and the passing of gas would be expected findings following a pyloromyotomy and would indicate tolerance of the feeding.