Today’s NCLEX-RN® question of the day focuses on bladder exstrophy. Do you know the answer? Let’s find out!
The neonatal nurse is responding to the emergent delivery of an infant with bladder exstrophy diagnosed during pregnancy.
After ensuring the infant is not in acute distress, which intervention should the nurse perform first?
A. Place the infant in a prone position
B. Obtain their rectal temperature
C. Administer an intravenous (IV) fluid bolus
D. Apply a non-adherent dressing to the exposed bladder
Scroll down for the correct answer!
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The correct answer to today’s NCLEX-RN® Question is…
D. Apply a non-adherent dressing to the exposed bladder
Rationale: The priority nursing intervention for a newborn with bladder exstrophy is protecting the exposed bladder. Immediately after delivery, the nurse should focus on protecting the exposed bladder by covering the bladder with a non-adherent dressing to minimize heat and fluid loss and to keep it moist and protected from germs or debris.
Main Takeaway
Bladder exstrophy is a congenital malformation where the bladder protrudes outside the abdomen due to an abdominal wall defect. Immediately after delivery, the nurse should focus on protecting the exposed bladder by covering the bladder with a non-adherent dressing to minimize heat and fluid loss and to keep it moist and protected from germs or debris.
Incorrect Answer Explanations
A. Place the infant in a prone position
Rationale: The infant should be positioned supine, rather than prone, to decrease pressure on the exposed bladder.
B. Obtain their rectal temperature
Rationale: The infant’s temperature should be obtained and monitored, but another intervention takes priority.
C. Administer an intravenous (IV) fluid bolus
Rationale: An IV fluid bolus might be prescribed to replace insensible fluid loss; however, another nursing intervention should be performed first.
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Watch the Osmosis video: Bladder exstrophy: Nursing
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