مولود حديث خرجت أمعاؤه من فتحة بجانب السرة بدون غشاء يغطيها. هو يبكي ونبضه ١٥٠، والحرارة ٣٦٫٣. ما الإجراء الأول للأمعاء؟

A newborn has bowel protruding through a defect beside the umbilicus with no covering membrane. He is crying, HR 150, T 36.3 °C. What is the first action for the bowel?

1. Leave it exposed to the air to dry
2. Cover it with dry cotton and a pressure dressing
3. Cover it with a sterile, moist, heat-retaining covering
4. Push the bowel back into the abdomen by hand immediately

Answer: C) Cover it with a sterile, moist, heat-retaining covering. In gastroschisis the bowel is covered with a sterile moist transparent wrap or bowel bag to limit heat and fluid loss and infection; the baby is positioned on the side and the stomach decompressed.