Pathophysiology
This common abdominal wall defects occurs when the intestines protrude through the umbilical cord.
What is omphalocele?
This prenatal test is used to diagnose abdominal wall defects as early as 12 weeks gestation
What is an ultrasound?
This common early complication results from fluid shifts and third spacing
What is hypovolemia?
This is what you should set your suction to after placing a Replogle
Unlike omphalocele, this defect has no protective sac and typically occurs the right of the umbilicus
What is gastroschisis?
This assessment finding indicates developing compartment syndrome
What is tense, shiny skin with decreased perfusion?
This respiratory complication can occur due to increased intra-abdominal pressure
What is respiratory distress?
This immediate post-delivery intervention prevents heat and fluid loss
What is bowel coverage with sterile, moist saline dressing and infant placed in bowel bag to axilla?
These two conditions are commonly associated with omphalocele but rarely with gastroschisis
What are chromosomal abnormalities and heart defects?
This is a common complication seen in gastroschisis , but relatively uncommon in omphalocele
What is prolonged ileus?
This life-threatening complication requires immediate surgical intervention
What is bowel ischemia, necrosis
This position helps to reduce tension on the defect and optimize respiratory function
What is right side lying with bowel supported?
These 3 factors are associated with increased risk of gastroschisis in pregnant mothers
What are young maternal age, smoking, and low BMI
These 2 lab values are monitored to assess fluid and electrolyte
What are serum sodium and potassium?
The principle long-term morbidity associated with gastroschisis
What is short bowel syndrome?
This surgical approach is used when primary closure cannot be achieved
What is silo placement?
This genetic syndrome is associated with omphalocele
What is Beckwith-Wiedemann syndrome?
These 3 vital signs are critically important to monitor in the first 24 hours
What are temperature, blood pressure, and heart rate?
The principal morbidity of omphalocele
What is secondary to any associated anomalies and the challenges of abdominal closure?
This is how much umbilical cord you should before clamping at a gastroschisis delivery
What is as much as possible?