A maternity nurse working in a newborn nursery accepted a telephone call from the delivery room and is told that a newborn with spina bifida (meningomyelocele) will be transported to the nursery. The maternity nurse prepares for the arrival of the newborn and places which of the following priority items at the newborn’s bedside?
  1. A blood pressure cuff
  2. A rectal thermometer
  3. A specific gravity urinometer
  4. A bottle of sterile normal saline
Explanation
Answer: D - The newborn with spina bifida is at risk for infection before the closure of the sac. A sterile normal saline dressing is placed over the sac to maintain moisture of the sac and its contents. This prevents tearing or breakdown of the skin integrity at the site.
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