Author Question: An infant is born with a gastroschisis. Care preoperatively should include which priority ... (Read 88 times)

D2AR0N · **on:** Jun 28, 2018

An infant is born with a gastroschisis. Care preoperatively should include which priority intervention?

a. Prone position
b. Sterile water feedings
c. Monitoring serum laboratory electrolytes
d. Covering the defect with a sterile bowel bag

Question 2

What should the nurse consider when providing support to a family whose infant has just been diagnosed with biliary atresia?

a. The prognosis for full recovery is excellent.
b. Death usually occurs by 6 months of age.
c. Liver transplantation may be needed eventually.
d. Children with surgical correction live normal lives.

jamesnevil303 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
Initial management of a gastroschisis involves covering the exposed bowel with a transparent plastic bowel bag or loose, moist dressings. The infant cannot be placed prone, and feedings will be withheld until surgery is performed. Electrolyte laboratory values will be monitored but not before covering the defect with a sterile bowel bag.

Answer to Question 2

ANS: C
Untreated biliary atresia results in progressive cirrhosis and death usually by 2 years of age. Surgical intervention at 8 weeks of age is associated with somewhat better outcomes. Liver transplantation is also improving outcomes for 10-year survival. Even with surgical intervention, most children require supportive therapy. With early intervention, 10-year survival rates range from 27 to 75.