Which of the following interventions is most important then the baby has surgery to correct a low anorectal malformation?
a. meticulous skin care c. keeping the anal area covered
b. pushing fluids d. high-fiber diet
A
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A Correct. Low anorectal malformations are corrected by creating an anal opening followed by anal dilatation to prevent stenosis. The most important postoperative intervention is preventing infection of the perineal and anal wounds by meticulous skin care. The surgical incisions are at high risk for infection from urine and stool.
B Incorrect. Pushing fluids is not the most important postoperative intervention although adequate fluid intake will help the child achieve normal bowel activity.
C Incorrect. Keeping the anal area covered is not the most important postoperative intervention.
D Incorrect. A high-fiber diet is not the most important postoperative intervention although adequate fiber will help the child achieve normal bowel activity.
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