The nurse is caring for a neonate born with a myelomeningocele. Surgery to repair the defect is scheduled the next day. The most appropriate way to position and feed this neonate is to place him:
a. Prone and tube feed.
b. Prone, turn head to side, and nipple feed.
c. Supine in infant carrier and nipple feed.
d. Supine, with defect supported with rolled blankets, and nipple feed.
ANS: B
In the prone position, feeding is a problem. The infant's head is turned to one side for feeding. If the child is able to nipple feed, no indication is present for tube feeding. Before surgery, the infant is kept in the prone position to minimize tension on the sac and risk of trauma.
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