A nurse manages the interdisciplinary care for an infant born with an omphalocele. What is an accurate description of the care plan for an omphalocele?

Choice A reason: Manipulating the exposed bowel back into the abdominal cavity at birth is contraindicated. It risks trauma, infection, and increased intra-abdominal pressure. Surgical correction is done in stages or after stabilization, not immediately or manually at bedside. Choice B reason: Corticosteroids are not part of the initial management of omphalocele. They may be used in other neonatal conditions but have no role in the acute stabilization of abdominal wall defects. Choice C reason: The priority in managing omphalocele is to prevent fluid loss, infection, and bowel injury. Obtaining IV access for fluid resuscitation and keeping the patient NPO prevents further gastrointestinal stress and prepares the infant for surgical evaluation. Covering the bowel with sterile, moist dressings and a silo may also be part of the care. Choice D reason: NG tube insertion may be considered to decompress the stomach, but it is not the first-line intervention. It supports stabilization but follows fluid resuscitation and protective measures for the exposed viscera.