What will the nurse caring for a newborn with exstrophy of the bladder include in the care? (Select all that apply.)
a. Diaper infant tightly.
b. Protect skin around bladder.
c. Position infant on back.
d. Prepare for surgical closure.
e. Cover exposed bladder with shield.
ANS: B, C, D, E
The infant is kept on his back or side with special attention to the skin around the exposed bladder, which is constantly bathed with urine. These infants are diapered loosely, if at all. Surgical closure is done as quickly as possible.
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