A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment should the nurse have on hand for the delivery?
1. Bag-valve-mask system
2. Sterile gauze and saline
3. Soft arm restraints
4. Endotracheal tube
4
Explanation:
1. A bag-valve-mask system, or Ambu bag, could push air into the stomach and cause abdominal distension, increase pressure on the diaphragm, and impair breathing.
2. The defect is not external, so sterile gauze and saline are not needed.
3. Soft arm restraints might be necessary but at are not an immediate concern.
4. A diaphragmatic hernia (protrusion of abdominal contents into the chest cavity through a defect in the diaphragm) is a life-threatening condition. Intubation is required immediately so that the newborn's respiratory status can be stabilized.
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