An infant born with an omphalocele defect is admitted to the ...

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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]

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.

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Gracias!

[lindahyatt42]

TYSM