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...

NCLEX Practice
Categories
Basic Care and Comfort
View Question

Category: Basic Care and Comfort
Difficulty: 9

Topics: Elimination Gastrointestinal Neonatal Care Nursing Interventions

Want help? View the answer with rationale.

Additional Basic Care and Comfort Questions

The nurse is preparing to discharge a newborn and her mother. The nurse checks that the mother is able to state which principle of safe sleeping?

Question Type: Multiple Choice - Select One
Difficulty: 1

The physical therapist has recommended active range-of-motion exercises for a patient who had shoulder surgery. Which statement is true regarding the exercises?

Question Type: Multiple Choice - Select One
Difficulty: 5

The urine output of a 40-year-old male patient with a urethral catheter has decreased from 80 mL/h to 15 mL/h. Which action should the nurse take first?

Question Type: Multiple Choice - Select One
Difficulty: 4

Show Calculator

Want help? View the answer with rationale.

Rationale

Additional Basic Care and Comfort Questions

Nursing Careers

Nursing Degrees

NCLEX