A woman pregnant at term arrives at the small rural hospital in active labor. She has received no prenatal care. At delivery, it is discovered that the newborn has a gastroschisis defect. Immediate transfer to a pediatric hospital is planned
Nursing care to prepare the infant for discharge would include: 1. Covering the exposed intestines with sterile moist gauze.
2. Wrapping the infant warmly in two or three blankets.
3. Providing a sterile water feeding to maintain hydration during transport.
4. Preventing the parents from seeing the infant prior to transfer to reduce their anxiety.
1
Rationale 1: It is important to keep the intestine from drying during transport.
Rationale 2: Placement in a transport isolette would be preferred to wrapping due to the nature of his birth defect.
Rationale 3: The infant should be NPO.
Rationale 4: The parents should be informed of the child's defect and allowed to see and hold the infant if the infant's condition allows.
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