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NCC Low Risk Neonatal Nursing (RNC-LRN) Practice Tests & Test Prep by Exam Edge - Related Blogs



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NCC Low Risk Neonatal Nursing - Blogs Sample Questions

Urinary drainage from a urachal remnant can lead to

Correct Answer:
umbilical granuloma, redness, or swelling below the umbilicus


the urachus is an embryological structure that connects the fetal bladder to the umbilical cord, allowing urine to exit the fetus into the amniotic fluid. normally, this duct closes before birth, forming a fibrous cord known as the median umbilical ligament. however, if the urachus does not close completely, it can leave a urachal remnant which may lead to complications such as umbilical granuloma, redness, or swelling below the umbilicus.

umbilical granuloma is a common inflammatory reaction at the site of the umbilicus, usually arising due to the presence of residual tissue, which in this case is the urachal remnant. this residual urachal tissue can harbor bacteria or produce persistent moisture that irritates the skin, leading to inflammation and granulation tissue. this granuloma typically presents as a soft, moist, pink lesion that can be prone to bleeding or oozing.

additionally, if the urachal remnant remains connected to the bladder, urinary drainage from the bladder can exit through the umbilicus. this abnormal pathway can lead to redness or swelling below the umbilicus due to inflammation or infection. such a scenario may also manifest with signs of a urinary tract infection and discomfort for the infant.

another key sign of a persistent urachus is the retraction of the umbilical cord during urination, which occurs due to the physical connection between the bladder and the umbilicus via the patent urachus. this unusual movement is a direct indicator of an abnormal connection and warrants further investigation.

due to the potential for urine to flow from the bladder to the umbilicus, there is also a risk of lower urinary tract obstruction. this could arise from partial closure of the urachal remnant, creating a scenario where the urine cannot flow freely, thus increasing back pressure to the bladder and potentially impairing its function. evaluation for such obstruction is critical in neonates showing signs of a patent urachus to prevent further complications such as urinary tract infections, kidney damage, or severe discomfort.

in summary, the presence of a urachal remnant can lead to several complications primarily centered around the umbilicus, such as umbilical granuloma, redness, or swelling. it can also cause disturbances in normal urinary function, underscoring the importance of early diagnosis and management to alleviate symptoms and prevent further complications.

Additional Blogs for NCC - National Certification Corporation dfgdfgdfg

In your journey to get NCC Low Risk Neonatal Nursing certified it is important for you to have all information related to your exam. So we have pulled together a list of additional blogs that may be of interest to you because that are all related to the National Certification Corporation.

Exam Edge Blogs for NCC - National Certification Corporation