An infant is born with a gastroschisis. Care preoperatively should include which priority intervention?
a. Prone position
b. Sterile water feedings
c. Monitoring serum laboratory electrolytes
d. Covering the defect with a sterile bowel bag
ANS: D
Initial management of a gastroschisis involves covering the exposed bowel with a transparent plastic bowel bag or loose, moist dressings. The infant cannot be placed prone, and feedings will be withheld until surgery is performed. Electrolyte laboratory values will be monitored but not before covering the defect with a sterile bowel bag.
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