Inpatient Obstetric Nurse Practice Exam 2026 – Complete Prep Guide

Question: 1 / 400

Which condition involves a defect in the abdominal wall not including the umbilicus?

Omphalocele

Gastroschisis

Gastroschisis is a congenital condition characterized by a defect in the abdominal wall, specifically to the right of the umbilicus, which allows the intestines to protrude outside of the body. This defect does not involve the umbilical cord or any membranes, distinguishing it from other abdominal wall defects, such as omphalocele, which does involve the umbilicus and is covered by a membrane.

The condition is generally diagnosed during prenatal ultrasounds, and babies born with gastroschisis often require surgical intervention shortly after birth to reposition the intestines back into the abdominal cavity and to close the defect. The lack of protective covering for the exposed organs in gastroschisis can predispose the newborn to infections and complications, making prompt medical care critical.

Other choices do not meet the criteria: omphalocele specifically involves the umbilicus and has a membrane covering, congenital diaphragmatic hernia relates to a defect in the diaphragm affecting respiratory function, and coarctation of the aorta is a cardiac defect involving narrowing of the aorta, which is unrelated to abdominal wall integrity.

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Congenital diaphragmatic hernia

Coarctation of the aorta

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