A baby just born with a meningomyelocele is to have surgery in the morning. The nurse knows the care of this newborn includes:
1. Applying a diaper to prevent contamination of sac.
2. Positioning the newborn in a side-lying position.
3. Encouraging the mother to hold the newborn, because she will not be able to pick him up after surgery.
4. Positioning the newborn in a prone position.
4
Rationale 1: A diaper is not used because it also puts pressure on the sac.
Rationale 2: A side-lying position would be contraindicated because it would place pressure on the sac.
Rationale 3: The mother should not hold the baby because that would put too much pressure on the sac.
Rationale 4: The newborn should be placed in a prone position to keep pressure off the sac.
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