A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment should the nurse prepare for use?
1. Appropriate bag-valve-mask system
2. Sterile gauze and saline
3. Soft arm restraints
4. Equipment for intubation
4
Rationale 1: A bag-valve-mask or ambu bag could push air into the stomach and cause abdominal distension, increase pressure on the diaphragm, and impair breathing.
Rationale 2: The defect is not external, so sterile gauze and saline are not needed.
Rationale 3: Soft arm restraints might be necessary but at are not an immediate concern.
Rationale 4: A diaphragmatic hernia (protrusion of abdominal contents into the chest cavity through a defect in the diaphragm) is a life-threatening condition. Intubation is required immediately so that the newborn's respiratory status can be stabilized.
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