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OMSB_OEN Exam - Topic 3 Question 40 Discussion

Posted by Tamekia on May 03, 2026 at 01:14 AM

An infant with bladder exstrophy has undergone a successful surgical repair and is due for discharge. The nurse is providing the infant's parents with discharge education on the long-term effect of the condition on the infant's body.

Which of the following management aspects the nurse should emphasize?

Suggested Answer: C

Bladder Exstrophy and Surgical Repair:

Bladder exstrophy is a congenital condition where the bladder develops outside the body. Surgical repair is performed to place the bladder back inside the abdomen and reconstruct the pelvic area.

Long-term Management:

High-fiber diet and physical activities: While maintaining a healthy diet and physical activity is important, they are not the primary focus in this condition.

Tub baths: Discouraging tub baths post-surgery might be a temporary measure to prevent infection but not a long-term management focus.

Fertility Counseling: Bladder exstrophy can impact the reproductive system and future fertility. Providing counseling regarding fertility status is crucial for the parents to understand potential long-term effects and prepare for any necessary interventions or treatments in the future.


National Institutes of Health (NIH)

American Urological Association (AUA)

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24 comments · newest first
LE
Leanna 2 days ago
Yes, but counseling about fertility should be prioritized.
LE
Leota 7 days ago
True, but they should be cautious. Maybe a mix of B and D?
JO
Josephine 12 days ago
Limiting physical activities seems too strict. Kids need to play!
CA
Carole 17 days ago
I agree, but I also feel like option D is crucial. Keeping the area clean is key.
LE
Leanna 23 days ago
I think option C is really important. Fertility issues can be a big concern later.
MA
Margarett 28 days ago
Balancing all these aspects is key for the infant's future.
CH
Christiane 1 month ago
Right, but fertility counseling is more relevant long-term.
VI
Vincenza 1 month ago
But fiber diet is important for overall health.
CH
Chantay 1 month ago
Yes, especially right after surgery.
CH
Christiane 2 months ago
I feel like tub baths should be discouraged too.
MA
Margarett 2 months ago
True, but we need to ensure safety first.
VI
Vincenza 2 months ago
Limiting activities for a year seems too much.
CH
Chantay 2 months ago
I agree, but what about physical activity limits?
CH
Christiane 2 months ago
Definitely! Counseling about fertility is crucial.
MA
Margarett 2 months ago
I think the focus should be on long-term care.
CO
Corrinne 3 months ago
I agree, counseling about fertility is crucial for the future.
NO
Nobuko 3 months ago
High-fiber diet is important for overall health, not just this condition.
WH
Whitney 3 months ago
Wait, tub baths for three months? That seems long!
AV
Avery 3 months ago
I think limiting physical activities is a bit too much.
ME
Melynda 3 months ago
Definitely need to discuss fertility status later on.
LA
Latanya 4 months ago
I recall that limiting physical activities might be important, but I can't remember if it was just for the first year or longer.
PO
Portia 5 months ago
I’m a bit confused about the dietary recommendations. Is a high-fiber diet really necessary for these patients long-term?
SH
Sheridan 5 months ago
I think we practiced a question about post-surgical care for bladder exstrophy, and I feel like discouraging tub baths was mentioned as important.
MA
Marjory 5 months ago
I remember discussing bladder exstrophy in class, but I'm not sure if fertility counseling is a long-term concern.
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