The parents of a newborn with an umbilical hernia ask about treatment options. The nurse's response should be based on which knowledge?
a. Surgery is recommended as soon as possible.
b. The defect usually resolves spontaneously by 3 to 5 years of age.
c. Aggressive treatment is necessary to reduce its high mortality.
d. Taping the abdomen to flatten the protrusion is sometimes helpful.
ANS: B
The umbilical hernia usually resolves by ages 3 to 5 years of age without intervention. Umbilical hernias rarely become problematic. Incarceration, where the hernia is constricted and cannot be reduced manually, is rare. Umbilical hernias are not associated with a high mortality rate. Taping the abdomen flat does not help heal the hernia; it can cause skin irritation.
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