Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
45. An African American infant with an umbilical hernia is brought to a well-infant clinic for routine immunizations. During the visit, a nurse notes that the parent has taped the umbilical hernia down on the abdomen to flatten the protrusion. The nurse would be correct in telling the parent that:
. Taping is an appropriate practice to follow.
. Taping will eliminate the need for a surgical repair because the umbilical hernia will resolve spontaneously with this treatment.
. Taping the umbilical hernia down to the abdomen does not help.
. Manually reducing the umbilical hernia on a daily basis by the parent will result in resolution of the hernia.
Test-Taking Tip
Select the one option that implies "do not do" the taping of the hernia.
Content Area: Child Health, Gastroenterological; Integrated Process: Teaching and Learning; Cognitive Level: Application; Client Need/Subneed: Psychosocial Integrity/Cultural Diversity
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because taping the umbilical hernia down to the abdomen does not aid in resolution, and it can produce skin irritation and breakdown. This practice should be discouraged. Answer 2 is incorrect because taping the umbilical hernia down to the abdomen does not replace a surgical repair of the umbilical hernia; it will not result in resolution of the umbilical hernia, and it can produce skin irritation and breakdown. Umbilical hernias that do not resolve spontaneously by 3 to 5 years of age should be corrected surgically on an elective basis. Answer 3 is correct because taping the umbilical hernia down to the abdomen does not aid in resolution of the hernia. It can produce skin irritation and breakdown. This practice should be discouraged. Answer 4 is incorrect because manual reduction of the umbilical hernia should never be attempted by the parents. This procedure should only be done by a pediatrician and/or surgeon.