peds unit 8 and 9
which finding in an infant with myelomeningocele should be reported to the PCP as a sign of increased ICP?
a high-pitched cry
what warrants immediate intervention when providing post op care for an infant who had a VP shunt placed to correct hydrocephalus?
abdominal distention
the parents of an infant with myelomeningocele ask the nurse about their child's future mental ability. what is the nurse's BEST response?
about 1/3 have an intellectual disability, but it is too early to tell about your child
after surgical repair of a myelomeningocele which position should the nurse use to prevent musculoskeletal deformity in the infant?
allow the hips to be abducted
after placing an infant with myelomeningocele in an isolette shortly after birth, the nurse should use which indicator as the best way to determine the effectiveness of this intervention?
the axillary temp remains between 97 and 98 degrees
what clinical manifestations would lead the nurse to suspect an infant has hydrocephaly?
vomiting, irritability, and pupillary changes this results in increased ICP. vomiting, irritability, bulging fontanelle, and pupillary changes are signs of increased ICP in an infant.
the nurse should include which action as the PRIORITY when the parents visit the infant diagnosed with myelomeningocele for the first time?
emphasize the infant's normal and positive features
What information about preventing UTI's in a child with myelomeningocele should be included in the plan of care?
-use crede's maneuver to empty the bladder -encourage frequent emptying of the bladder -assure adequate fluid intake
what information is most important for the nurse to include when developing the discharge plan for the parents of an infant who has undergone a myelomeningocele repair?
daily care required by the infant
myelomeningocele is commonly associated with what disorder?
excessive CSF within the cranial cavity
which sign signals a blocked shunt?
irritability and difficulty with eating
a preschooler with a history of repaired lumbar myelomeningocele is in the ER with wheezing and a skin rash. which questions should the nurse ask first?
is your child allergic to bananas or any other food (high risk for latex allergy)
what action should the nurse take when providing post op care after a VP shunt?
monitor for increased temp
a nurse obtains an infant's vital signs who has hydrocephaly with a VP shunt. in order to obtain the most significant information about the child's status, which assessment should the nurse make next?
occipital frontal head circumference
