mother/baby chapter 49

The nurse is talking to a parent with a child who has a latex allergy. Which statement by the parent would indicate a correct understanding of the teaching?

"My child should not eat bananas or kiwis."

What is the most appropriate nursing response to the father of a newborn infant with myelomeningocele who asks about the cause of this condition?

"There may be no definitive cause identified."

How much folic acid is recommended for women of childbearing age?

0.4 mg

A toddler is admitted to the hospital with a possible diagnosis of tetanus. The health care provider has prescribed lorazepam (Ativan) intravenously 0.05 mg/kg/dose every 6 hours prn as a muscle relaxant. The child weighs 22 lbs. How many milligrams of Ativan should the nurse administer per dose? _____ Record your answer using one decimal place.

0.5 Find the child's weight in kilograms by dividing 22 by 2.2 = 22/2.2 = 10 kg. Multiply the 0.05-mg dose by 10 = 0.05 mg 10 kg = 0.5 mg per dose.

The nurse is caring for an intubated infant with botulism in the pediatric intensive care unit. Which health care provider prescriptions should the nurse clarify with the health care provider before implementing?

Administer gentamicin sulfate (Garamycin) 10 mg per intravenous piggyback every 12 hours.

Therapeutic management of a child with tetanus includes the administration of:

Antibiotics to control bacterial proliferation at the site of injury.

The nurse is admitting a school-age child with suspected Guillain-Barré syndrome (GBS). Which nursing intervention is a priority in the care for this child?

Assessing respiratory efforts

Latex allergy is suspected in a child with spina bifida. Appropriate nursing interventions include:

Avoiding using any latex product.

The nurse is conducting discharge teaching with parents of a preschool child with myelomeningocele, repaired at birth, who is being discharged from the hospital after a urinary tract infection (UTI). Which should the nurse include in the discharge instructions related to management of the child's genitourinary function (Select all that apply)?

Continue to perform the clean intermittent catheterizations (CIC) at home. Administer the oxybutynin chloride (Ditropan) as prescribed. Monitor for signs of a recurrent UTI.

The nurse is caring for an infant with myelomeningocele scheduled for surgical closure in the morning. Which interventions should the nurse plan for the care of the myelomeningocele sac?

Covered with a sterile, moist, nonadherent dressing

A current recommendation to prevent neural tube defects is the supplementation of:

Folic acid for all women of childbearing age.

Which problem is most often associated with myelomeningocele?

Hydrocephalus

Spastic cerebral palsy is characterized by:

Hypertonicity and poor control of posture, balance, and coordinated motion.

The parents of a child with cerebral palsy ask the nurse if any drugs can decrease their child's spasticity. The nurse's response should be based on knowing that:

Implantation of a pump to deliver medication into the intrathecal space to decrease spasticity has recently become available.

A home care nurse is caring for an adolescent with a T1 spinal cord injury. The adolescent suddenly becomes flushed, hypertensive, and diaphoretic. Which intervention should the nurse perform first?

Implement a standing prescription to empty the bladder with a sterile in-and-out Foley catheter.

Which assessment findings should the nurse note in a school-age child with Duchenne's muscular dystrophy (DMD) (Select all that apply)?

Lordosis Gower's sign Waddling gait

A 14-year-old girl is in the intensive care unit after a spinal cord injury 2 days ago. Which nursing care interventions are needed for this child (Select all that apply)?

Monitoring and maintaining systemic blood pressure. Administering corticosteroids. Monitoring for respiratory complications.

The most common problem of children born with a myelomeningocele is:

Neurogenic bladder.

The nurse is admitting a child with Werdnig-Hoffmann disease (spinal muscular atrophy type 1). Which signs and symptoms are associated with this disease?

Progressive weakness and wasting of skeletal muscle

The nurse is caring for a neonate born with a myelomeningocele. Surgery to repair the defect is scheduled the next day. The most appropriate way to position and feed this neonate is to place him:

Prone, turn head to side, and nipple feed.

A young boy has just been diagnosed with pseudohypertrophic (Duchenne's) muscular dystrophy. The management plan should include:

Recommending genetic counseling.

Which finding should cause the nurse to suspect a diagnosis of spastic cerebral palsy?

Sudden jerking movement caused by stimuli

The nurse in the neonatal intensive care unit is caring for an infant with myelomeningocele scheduled for surgical repair in the morning. Which early signs of infection should the nurse monitor on this infant (Select all that apply)?

Temperature instability Irritability Lethargy

The nurse is preparing to admit a newborn with myelomeningocele to the neonatal intensive care nursery. Which describes this newborn's defect?

Visible defect with an external saclike protrusion containing meninges, spinal fluid, and nerves