Podcast
Questions and Answers
What is the immediate priority nursing intervention for a newborn with gastroschisis?
What is the immediate priority nursing intervention for a newborn with gastroschisis?
- Covering the defect with a nonadherent dressing saturated in sterile normal saline (correct)
- Leaving the defect open to air to promote drying
- Applying a dry, sterile dressing
- Applying an antibiotic ointment to the exposed organs
Why should the dressing used to cover a gastroschisis or omphalocele be nonadherent?
Why should the dressing used to cover a gastroschisis or omphalocele be nonadherent?
- To allow for better air circulation
- To easily visualize the defect
- To promote drainage from the site
- To prevent the dressing from sticking to the organs or sac (correct)
What is the purpose of saturating the nonadherent dressing with sterile normal saline?
What is the purpose of saturating the nonadherent dressing with sterile normal saline?
- To reduce inflammation
- To maintain moisture and prevent the organs from drying out (correct)
- To provide a barrier against infection
- To promote rapid healing
In addition to covering the defect, what other action is crucial in the immediate care of a newborn with gastroschisis?
In addition to covering the defect, what other action is crucial in the immediate care of a newborn with gastroschisis?
What type of drape is preferred when covering gastroschisis after birth?
What type of drape is preferred when covering gastroschisis after birth?
If a sterile saline drape is unavailable, what is an acceptable immediate alternative for covering the defect?
If a sterile saline drape is unavailable, what is an acceptable immediate alternative for covering the defect?
Why is it important to prevent desiccation of the exposed organs in gastroschisis or omphalocele?
Why is it important to prevent desiccation of the exposed organs in gastroschisis or omphalocele?
Which of the following is a critical component of the initial assessment of a newborn with gastroschisis or omphalocele?
Which of the following is a critical component of the initial assessment of a newborn with gastroschisis or omphalocele?
What is a key difference between gastroschisis and omphalocele?
What is a key difference between gastroschisis and omphalocele?
What should be avoided when handling the exposed abdominal contents in a newborn with gastroschisis or omphalocele?
What should be avoided when handling the exposed abdominal contents in a newborn with gastroschisis or omphalocele?
Flashcards
Gastroschisis/Omphalocele Nursing Intervention
Gastroschisis/Omphalocele Nursing Intervention
Cover the defect immediately after birth with a nonadherent dressing saturated in sterile normal saline.
Reason for Nonadherent Saline Dressing
Reason for Nonadherent Saline Dressing
To prevent the dressing from sticking to the organs or sac, and to maintain a sterile environment.
Priority Action
Priority Action
Cover the defect to protect the exposed organs from trauma and infection.
Study Notes
- Gastroschisis and omphalocele require immediate nursing intervention after birth
- Cover the defect with a nonadherent dressing saturated in sterile normal saline
- This prevents the dressing from sticking to the organs or sac
- Priority is to cover with a sterile saline drape
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