Nurse Dolores is caring for a fifteen-day-old neonate who has a necrotizing enterocolitis (NEC). What nursing care plan should be included for the neonate?
  1. Measure abdominal girth at least every two hours
  2. Dilute the milk formula as ordered
  3. Hyperventilate the neonate before each feeding
  4. Introduce formula feeding by lavage
Explanation
Answer - A - A nursing care plan should include measuring of the abdominal girth every two hours. Neonates who have NEC have prolonged gastric emptying; therefore, any increase in abdominal girth (>1 cm in 4 hours) is significant and it needs immediate intervention.
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