The 12-hour-old neonate was born at 39 weeks to a G2P2 mother after an uncomplicated pregnancy and delivery. Slight oligohydramnios was noted during the pregnancy. The neonate has not urinated. Upon assessment, the nurse notes stable vital signs and suprapubic distention. The nurse contacts the provider to advocate for which initial intervention?

Straight catheterization. Oligohydramnios and failure to void with suprapubic distention points to either an obstruction or an inability to empty the bladder. This is likely caused by posterior urethral valves. The initial intervention is a straight catheterization to empty the bladder and prevent hydronephrosis. A renal ultrasound will be necessary. Creatinine and urine sodium are not the initial interventions to relieve the bladder. A fluid bolus will worsen the patient’s symptoms.

The 12-hour-old neonate was born at 39 weeks to a G2P2 mother aft...

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Basic Care and Comfort
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Category: Basic Care and Comfort
Difficulty: 9

Topics: Elimination Gastrointestinal Neonatal Care Nursing Interventions

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