NREMT Paramedic Practice

What characterizes an omphalocele?

1. Integrity of the ectoderm

2. A type of hernia with intact sac

3. Protrusion of the intestines through a ruptured sac

4. A maldevelopment of the diaphragm

The correct answer is: A type of hernia with intact sac

An omphalocele is characterized as a type of hernia that has an intact sac. In cases of omphalocele, the abdominal contents, such as intestines or organs, protrude through the umbilical area but remain encased within a peritoneal sac that is covered by a thin membrane. This distinguishes it from other conditions where the sac may be ruptured or not present. The integrity of the sac is a key feature that helps in the management of the condition since the contents are less exposed to the external environment, thus reducing the risk of complications like infection. Understanding this element is crucial for appropriate assessment and intervention in neonates presenting with such defects. The other options refer to different conditions or features that do not apply to omphalocele specifically, which is why they do not characterize this condition accurately.