A newborn has rachischisis. What action by the nurse takes priority?
A.
Contact the palliative care team for interventions.
B.
Discourage the family from seeing the infant.
C.
Obtain informed consent for immediate surgery.
D.
Prepare to provide the baby total parenteral nutrition.
ANS: C
Rachischisis is spina bifida, a type of neural tube defect that often requires immediate surgery. The priority of the nurse is to obtain signatures on the informed consent form and place it on the chart. There is no need for palliative care or parenteral nutrition. The nurse would not discourage the family from seeing the baby.
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