A newborn diagnosed with an omphalocele defect is admitted to the ...

[jeatrice]

A newborn diagnosed with an omphalocele defect is admitted to the intensive care nursery. Which nursing action is appropriate based on the current data?
 
  1. Placing the newborn on a radiant warmer
  2. Placing the newborn in an open crib
  3. Preparing the newborn for phototherapy
  4. Preparing the newborn for a bottlefeeding

Question 2

Which is the priority nursing diagnosis when planning care for a newborn who is born with esophageal atresia and tracheoesophageal fistula?
 
  1. Ineffective Tissue Perfusion
  2. Ineffective Infant Feeding Pattern
  3. Acute Pain
  4. Risk for Aspiration

[ryansturges]

Answer to Question 1

1
Explanation:
1. Omphalocele is a congenital malformation in which intra-abdominal contents herniate through the umbilical cord. The newborn loses heat through the viscera; a warmer is indicated to prevent hypothermia.
2. The crib would not provide adequate maintenance of temperature control.
3. Phototherapy is used to treat hyperbilirubinemia, not an omphalocele defect.
4. The newborn will require surgical correction of the defect prior to initiating bottle or breast feeding.

Answer to Question 2

4
Explanation:
1. Tissue perfusion is not a primary problem with this condition.
2. The infant is always kept NPO (nothing by mouth) preoperatively, so ineffective feeding pattern would not apply.
3. Pain is not usually experienced preoperatively with this condition.
4. This is the most common type of esophageal atresia and tracheoesophageal fistula, where the upper segment of the esophagus ends in a blind pouch and a fistula connects the lower segment to the trachea. Preoperatively, there is a risk of aspiration of gastric secretions from the stomach into the trachea because of the fistula that connects the lower segment of the esophagus to the trachea.