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What is the most important nursing intervention for a newborn being evaluated for imperforate anus?

  1. Maintaining NPO status

  2. Taking axillary temperatures only

  3. Providing warm soaks to the anal area

  4. Maintaining the child in a supine position

The correct answer is: Maintaining NPO status

Maintaining NPO (nothing by mouth) status is crucial for a newborn being evaluated for imperforate anus because it prepares the infant for potential surgical intervention. If the condition is confirmed, surgery will likely be necessary to correct the malformation, and the child must not have any intake to prevent the risk of aspiration and to ensure an empty stomach during the procedure. In the case of gastrointestinal obstruction or concerns with bowel elimination, having the child NPO reduces complications that can arise from an inability to adequately manage food and fluid intake, especially if surgeries are involved. While other options may pertain to general care for a newborn, they do not hold the same level of significance in the context of a condition requiring surgical evaluation and potential intervention.