An infant with imperforate anus has an anal plasty and temporary colostomy. Which statement by the infant's mother indicates that she understands how to care for the infant's colostomy at home?
a. "I will call the doctor right away if my baby starts vomiting."
b. "I'll call my home health nurse if the colostomy bag needs to be changed."
c. "I'll call the doctor if I notice that the colostomy stoma is pink."
d. "I'll have my mother help me with the care of the colostomy."
A
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A Parents are taught signs of strangulation; vomiting, pain, and an irreducible mass
in the abdomen. The physician should be contacted immediately if strangulation
is suspected.
B The mother should be taught the basics of colostomy care, including how to
change the appliance.
C The colostomy stoma should be pink in color, not pale or discolored.
D There is no evidence that her mother knows how to care for a colostomy. This
also does not indicate the mother has understanding of caring for the infant's
colostomy.
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