A newborn diagnosed with an omphalocele defect is admitted to the intensive care nursery. Which nursing action is appropriate based on the current data?
1. Placing the newborn on a radiant warmer
2. Placing the newborn in an open crib
3. Preparing the newborn for phototherapy
4. Preparing the newborn for a bottlefeeding
1
Explanation:
1. Omphalocele is a congenital malformation in which intra-abdominal contents herniate through the umbilical cord. The newborn loses heat through the viscera; a warmer is indicated to prevent hypothermia.
2. The crib would not provide adequate maintenance of temperature control.
3. Phototherapy is used to treat hyperbilirubinemia, not an omphalocele defect.
4. The newborn will require surgical correction of the defect prior to initiating bottle or breast feeding.
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