Question

The nurse is assessing a newborn with exstrophy of the bladder. which other defect is often associated with exstrophy of the bladder and may be of concern to the nurse?

Answer 1

Incomplete formation of the pubic bone is associated with exstrophy of the bladder. Absence of one kidney, congenital heart disease, and tracheoesophageal fistula are not associated with exstrophy of the bladder. This might be of concern to the nurse.

What is bladder exstrophy?

Bladder exstrophy is a complex, rare disorder that occurs early on while a fetus is developing in the womb. As the bladder is developing the abdominal wall does not fully form, leaving the pubic bones separated and the bladder exposed to the outside skin surface through an opening in the lower abdominal wall. Because the bladder and urethra are not closed, the bladder cannot store urine. Urine produced by the kidneys drains into this open area.

Bladder exstrophy occurs in approximately 1 in every 50,000 live births and is slightly more common in males. The disorder may occur in varying degrees and may involve other organs including the bowel, external genitalia and pelvic bones.

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