When caring for a newborn with an abdominal wall defect at birth, ...

[MirandaLo]

When caring for a newborn with an abdominal wall defect at birth, it is important to do all of the following except:
 
  1. Wrap and support the defect to prevent rupture.
   2. Start immediate feedings to support nutrition.
   3. Insert an orogastric tube to decompress the stomach.
   4. Provide parenteral nutrition.

Question 2

Elsa is working with an 11-year-old patient in the outpatient pediatric clinic. As Elsa reviews the chart, she reads that the patient follows the Muslim tradition. When Elsa enters the room, she notes that the child is wearing a hijab on her head.
 
  Elsa has never worked with this tradition before. Elsa should: 1. Realize that her verbal and non-verbal communication will impact the care she gives the child.
   2. Not ask the parent for input on the care of the child because this would disrespect the family and child.
   3. Have another nurse, who has experience with this culture, take care of the patient.
   4. Realize that the patient is uncomfortable and seek a fellow nurse to help her.

[Cnarkel]

Answer to Question 1

2
Feedback
1. Keeping the defect moist and supported helps to prevent a rupture.
2. Feeding will distend the abdomen and could cause damage.
3. An orogastric tube will help keep the stomach decompressed and help prevent a rupture.
4. Parenteral nutrition is needed for caloric intake and growth.

Answer to Question 2

1
Feedback
1. Verbal and non-verbal communication differs in each culture, thus this must be taken into consideration when working with the child.
2. The lack of communication with the parent and child is not therapeutic for the child.
3. Another nurse may be beneficial, but since Elsa has already started caring for the child, this may create problems.
4. There is no indication of the patient feeling uncomfortable.

[MirandaLo]

TYSM

[jomama]

Thanks for the timely response, appreciate it