A neonate with a meningomyelocele is to have surgery in the morning. Which nursing action is appropriate for this neonate?
1. Applying a diaper to prevent contamination of sac
2. Positioning the newborn in a side-lying position
3. Encouraging the mother to hold the newborn because she will not be able to pick him up after surgery
4. Positioning the newborn in a prone position
4
Explanation:
1. A diaper is not used because it also puts pressure on the sac.
2. A side-lying position would be contraindicated because it would place pressure on the sac.
3. The mother should not hold the baby because that would put too much pressure on the sac.
4. The newborn should be placed in a prone position to keep pressure off the sac.
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