NURS 3012 Study Guide - Midterm Guide: Bladder Exstrophy, Imperforate Anus, Omphalocele
Document Summary
Gastroschisis - occurs when the bowel herniates through a defect in the abdominal wall to the right of the umbilical cord (r>l) Omphalocele herniation of abdominal viscera through abdominal ring. Covered by amnion an occurs when there is failure of the caudal or lateral infolding of the abdominal wall at approximately the third week of gestation. With the deficiency in the abdominal wall, the bowel is unable to complete its return to the abdomen between the tenth and twelfth week of gestation. s t c e f e. A signs and symptoms diagnosis/therapeutic management covering the exposed bowel with a transparent plastic bowel bag or loose, moist dressings. Iv fluids and antibiotics are administered, and a double-lumen. Urgent surgical closure complete or staged depending on size of defect. Postoperatively most infants require mechanical ventilation because of respiratory distress secondary to increased abdominal pressure.
