NURS 211: Neuromuscular disorders

After correcting spina bifida the infant often develops a neurogenic bladder. Which of the following is FALSE referring to the neurogenic bladder? 1. THis is a neuro problem and will not just go away 2. We can do clean intermittent catheterization to promote bladder emptying 3. We can perform surgical interventions such as a continent urinary reservoir or vesicostomy to facilitate urinary elimination 4. This is strictly a cosmetic problem and will not prompt any serious issues as the child g

4. This is strictly a cosmetic problem and will not prompt any serious issues as the child grows up

What type of food can have a cross-reaction with a latex allergy? 1. Bannans 2. Potatoes 3. Avocados 4. Kiwi 5. Chestnuts 6. All of the above

6. All of the above

If a baby with spina bifida has surgery and has it corrected before birth the risk of hydrocephalus decreases. True or False.

True

The nurse is observing a child struggling to get up off the floor, he has to roll over and slowly stand while trying to support himself with his arms when standing. What is this sign called? 1. Gowers sign 2. Ortolani test 3. Barlow test 4. Stand up sign

1. Gowers sign

After fixing an infant with Meningocele and removing the sac via surgery. Which of the following is a concern for the infant? 1. Hydrocephalus 2. Hyperglycemia 3. Decreased intracranial pressure 4. Increased nervous spasms

1. Hydrocephalus

A 5-year-old child presents with a waddling gait, and enlarged muscles, especially in the thighs and upper arms, and the mother reports the child frequently falls and has difficulties getting up off the ground. What does this most likely sound like to the nurse? 1. Muscle dystrophy 2. Meningocele 3. Myelomeningocele 4. Clubfoot

1. Muscle dystrophy

During what disorder are muscles replaced with fat and the patient presents with increasing disability and deformity with loss of strength? 1. Muscle dystrophy 2. Meningocele 3. Myelomeningocele 4. Occulta

1. Muscle dystrophy

Which of the following is NOT a diagnostic test for muscle dystrophy? 1. Polymerase chain reaction (PCR) for the dystrophin gene mutation 2. Echocardiogram 3. Muscle biopsy, and serum enzyme measurement 4. Prenatal testing if positive family history

2. Echocardiogram

What type of procedure creates a new tube on a child's belly through which a child can urinate (pee) by using a catheter? 1. AV shunt 2. Mitrofanoff 3. Vesicostomy 4. Continent urinary reservoir

2. Mitrofanoff

What is the recommended time frame for closing the neural tube in an infant with spina bifida? 1. 48-72 hours before birth 2. 1-24 hours after birth 3. 12-72 hours after birth 4. 3-4 days after birth

3. 12-72 hours after birth

What age does muscle dystrophy usually appear? 1. 12-24 months 2. 2-4 years 3. 3-7 years 4. 12-15 years

3. 3-7 years

What type of allergy can a child with spina bifida develop? 1. Allergy to cats 2. Allergy to peanuts 3. Allergy to latex 4. Allergy to grass

3. Allergy to latex

The nurse is bathing a neonate and notices small dark tufts of fine hair on the neonate's lower back. Based on this observation, the nurse would take which action? 1. Tell the parents that this may indicate spina bifida. 2. Recognize that this is normal in the neonate and continue with the bath. 3. Arrange to notify the primary health care provider of this physical finding. 4. Assess for other associated anomalies, and carefully document all findings.

3. Arrange to notify the primary health care provider of this physical finding.

The nurse prepares to admit a newborn with spina bifida, myelomeningocele. Which nursing action is most important for the care for this infant? 1. Monitoring the temperature 2. Monitoring the blood pressure 3. Inspecting the anterior fontanel for bulging 4. Monitoring the specific gravity of the urine

3. Inspecting the anterior fontanel for bulging

What type of spina bifida presents with meninges, spinal fluid, and nerves in the sac? 1. Spina bifida 2. Meningocele 3. Myelomeningocele 4. Occulta

3. Myelomeningocele

Which of the following can the mother take to help fuse the neural tubes? 1. Iron 2. Magnesium 3. Calcium 4. Folic acids

4. Folic acids

Which of the following is FALSE of neural tube defects? 1. Affects more girls than boys 2. Occurs three times more often in Caucasians and Hispanics than in African Americans 3. One of the most common birth defects in the United States 4. Occur during the last 4 weeks of gestation

4. Occur during the last 4 weeks of gestation