Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

What is an important factor in the management of skin issues in premature infants?

1. Daily application of heavy creams

2. A voidance of all types of bandaging

3. Adequate hydration and moisture management

4. Immediate exposure to all environmental factors

The correct answer is: Adequate hydration and moisture management

In the management of skin issues in premature infants, adequate hydration and moisture management is crucial. This is because premature infants have underdeveloped skin that is thinner, more fragile, and less effective at retaining moisture compared to infants born at term. By ensuring proper hydration levels, caregivers can help maintain the skin's integrity, elasticity, and barrier function, reducing the risk of skin breakdown and other complications. Moisture management involves using appropriate products that can help maintain skin hydration without overwhelming the delicate skin barrier. This includes utilizing gentle emollients or moisturizers that create a protective layer, preventing transepidermal water loss while also providing nourishment to the skin. In contrast, other choices present less effective or even detrimental approaches. Daily application of heavy creams may clog pores or prevent the skin from breathing properly, while avoiding all types of bandaging can lead to exposure of vulnerable skin to potential irritants and infections. Immediate exposure to all environmental factors can also be harmful, as premature infants are more susceptible to temperature fluctuations, humidity changes, and pathogens, underscoring the importance of a controlled environment and appropriate protective measures.