Chapter 24: Umbilical Hernia (Children) Flashcards

1
Q

Umbilical Hernia

A

most common type in infants

  • protrusion of the intestine through the abdominal fascia
  • identifiable during crying, defecation, or coughing
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2
Q

How does an Umbilical Hernia Occur?

A

as a result of failure of the umbilical ring to close, which normally begins at the end of the first trimester

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3
Q

Signs and Symptoms

A
  • majority are asymptomatic

- more prominent when infant is crying

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4
Q

Diagnosis

A

identified as a soft midline swelling in the umbilical area

-can be reduced with pressure

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5
Q

Prevention

A

may not be prevented

-good prenatal care promotes optimal fetal development in utero

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6
Q

Nursing Care

A
  • most resolve spontaneously by 3 to 5 years of age, though a decreased likelihood for hernia larger than 1.5 cm in diameter or for one with a large, proboscis-like defect (elongated or extensible tubular process)
  • parental education
  • preoperative preparation of the child
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7
Q

Surgical Care

A

considered for a persistent hernia beyond age of 5, an incarcerated hernia, or a hernia that enlarges dramatically

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8
Q

Postoperative care

A
  • vital signs done frequently
  • keeping wound clean and dry
  • managing child’s pain
  • pressure dressing applied for 48 hours
  • may resume a normal diet and activity (avoid strenuous activities for 2 to 3 weeks)
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9
Q

Education/ Discharge

A
  • prior to surgery, nurse instructs parents about umbilical hernia and prognosis for the spontaneous resolution
  • if surgery is required, parents instructed to have the child avoid strenuous activities after surgical correction for 2 to 3 weeks and resume a normal diet as tolerated
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