A baby born without a urinary bladder has a surgically created cutaneous ureterostomy. One stoma exists. What should be discussed with the child's family regarding the care?

a. "This urinary diversion is permanent, and urine will drain from it continually."
b. "In the future, a second surgery will offer an exit for the urine from the other kid-ney."
c. "This pouch needs to be changed only once a week."
d. "You should notify the surgeon if the stoma becomes paler in color."


A
The baby's ureterostomy and drainage of urine are constant. This is a permanent solution because of the lack of a bladder. Both ureters are joined for the release of urine through the stoma. The pouch will be on continually and needs to be changed as needed several times a day.

Nursing

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