An infant with bladder exstrophy has had a continent urinary reservoir placed. Which discharge instruction should be included?

Correct Answer: B

Rationale: Children with urologic malformations are prone to latex allergies; parents should be advised to avoid latex exposure.

Correct Answer: A

Rationale: Preterm newborns who require mechanical ventilation are at increased risk of developing alveolar rupture. The pressure from mechanical ventilation can lead to overdistension of the alveoli, causing damage to their delicate structure. This can result in the rupture of the alveolar walls, leading to a condition known as pulmonary interstitial emphysema. Alveolar rupture can contribute to the development of other complications such as pneumothorax and air leaks, which can further compromise the newborn's respiratory status. Therefore, close monitoring and adjustment of ventilation parameters are crucial in the care of preterm newborns on mechanical ventilation to minimize the risk of alveolar rupture and its associated complications.

Correct Answer: C

Rationale: Anaplastic histology is associated with a poorer prognosis and is not typically associated with favorable relapse outcomes.

Correct Answer: A

Rationale: Answering questions honestly and frankly helps build trust and provides clarity for the child during this difficult time.

Correct Answer: D

Rationale: These milestones are typically achieved around 9 months of age.