Question

What is the next best step in the management of a normal newborn with an umbilical bulge?

1) Observe and reassess in 24 hours
2) Order an abdominal ultrasound
3) Refer to a pediatric surgeon
4) Perform an umbilical hernia repair

Answer 1

The next best step in the management of a normal newborn with an umbilical bulge is to observe and reassess in 24 hours.

Step-by-step explanation:

The next best step in the management of a normal newborn with an umbilical bulge is to observe and reassess in 24 hours. An umbilical bulge, also known as an umbilical hernia, is a common condition in newborns where a part of the intestine protrudes through a weakened area in the abdominal muscles around the navel. In most cases, umbilical hernias resolve on their own without treatment by the time the child is 3 to 4 years old.