Gastroschisis gastroschisis occurs when the bowel

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Unformatted text preview: include absence or stenosis of the anal rectal canal, presence of an anal membrane, and an external fistula to the perineum 115. Gastroschisis Gastroschisis occurs when the bowel herniates through a defect in the abdominal wall to the right of the umbilical cord. There is no membrane covering the exposed bowel. Surgical repair will be done as soon as possible because of the risk of infection in the unprotected bowel. Therefore, the highest risk immediately after delivery would be infection. Risk for impaired parenting and risk for disorganized infant behavior are possible later nursing problems, but they would not have priority. Risk for impaired urinary elimination is unlikely because the gastrointestinal tract is affected, not the genitourinary system. 116. Appendectomy In the preoperative period, enemas or laxatives should not be administered. Additionally, heat is not applied to the abdomen. Any of these interventions can cause rupture of the appendix and resultant peritonitis. IV fluids would be star...
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