Myelomeningocele
A nurse is caring for a neonate born 12 hours ago with a myelomeningocele. Which assessment finding should be reported immediately to the PCP
Axillary temp of 102.2 (infection)
an infant has returned ot the peds unit after repair of a meylomeningocele. The nruse notices that the infant has had no urine output in the past 2 hours. Which nursing intervention would be most appropriate
Catheterize the infants bladder
A mother of a 3yo with a myelomeningocele is considering having another baby. She asks the nurse if she should make any changes to her diet. What is the nurses best response:
Increase folic acid to 4mg
the parents of a child newly dx with myelomeningocele ask the nruse why surgical repair needs to be done immediately. Which reponse would be most accurate:
Its done to decrease the possibility of infection and further cord damage
a parent of a newborn diagnosed with myelomeningocele asks what is a common long term complication. the nurses best response is
UTI
which priority item should be placed on the bedside of a newborn with myelomeningocele
a bottle of NS
an infant is born with a sac protruding through the spine, containing CSF, a portion of meninges and nerve roots. the condition is referred to as
a myelomeningocele is a sac that contains a portion of the meninges, the CSF and the nerve roots
which does the nurse include in a child with myelomeningocele postoperative plan of care following ligament release
assist the child to change positions to avoid skin breakdown
a newborn with a repaired myelomeningocele is assessed for hydrocephalus. which would the nurse expect in an infant with hydrocephalus
bulging fontanel and downwardly rotated eyes
the nurse is caring for an infant with a myelomeningocele. the parents ask the nurse why they keep measuring the babys head circumference. select the nurses best response
children with myelomeningocele are at increased risk for hydrocephalus, which can be manifested with an increased in head circumference
which of the following would be included in the plan of care for a hospitalized newborn following surgical repair of a myelomeningocele. select all that apply
daily head circumference measurements are done to assess for hydrocephalus. diagnostic tests include MRI scan, CT scan, ultrasound and myelography
which should the nurse do first when caring for an infant who just had a repair of a myelomeningocele
measure head circumference
which should the nurse prepare the parents of an infant for the following surgical repair and closure of a myelomeningocele shortly after birth. the infant will:
need lifelong management of urinary, orthopedic and neurological problems
which should be included in the plan of care for a newborn with myelomeningocele who will have a surgical repair tomorrow
place a wet dressing on the sac
which is included in the plan of care for a newborn who has myelomeningocele
place the child in the prone position with a sterile most dressing over the defect. begin IV fluids to prevent dehydrations
which should be the priority ND for a 12 hour old newborn with a myelomeningocele at L2
potential for infection r/t the physical defect
the nurse is caring for an infant with myelomeningocele who is going to surgery later today for closure of the sac. which would be a priority nursing diagnosis before surgery
risk of infection
the nurse is working in a school health clinic and a teen mentions that her older sister just had a baby born with a myelomeningocele. the teen is wondering if there is anything she can do to prevent this from happening to her baby when she decides to have children. which is the best response
take a multivtaim with folic acid daily
a child with a repaired myelomeningocele is in the clinic for a regular exam. the child has frequent constipation and has been crying at night bc of pain in the legs. after an MRI the diagnosis of a tehered cord is made. which should the nurse tell the parents
tehtered cord is a post surgical complicaiton
over the last week an infant with repiared myelomeningocele has had a high pitched cry and been irritable. length, weight and head circumference have been at the 50th percentile. today length is at the 50th percentile, weight is at the 70th percentile and head circumference is at the 90th percentile. the nurse should do which of the following
tell the parent this might mean the baby has increased icp
