Concerning congenital anomalies involving the central nervous system, nurses should be aware that:
1. although the death rate for most congenital anomalies has decreased over the past several decades, neural tube defects (NTDs) have gone up in the past few years.
2. spina bifida cystica is usually asymptomatic and may not be diagnosed unless there are associated problems.
3. a major preoperative nursing intervention for a neonate with myelomeningocele is to protect the protruding sac from injury.
4. microcephaly can be corrected with timely surgery.
3
1. Incorrect. Most congenital anomalies have a stable neonatal death rate since the 1930s; NTDs are declining because of mandatory food fortification with folic acid.
2. Incorrect. Spina bifida occulta is often asymptomatic; spina bifida cystica has a visible sac.
3. Correct. The nurse protects the infant by laying it on its side.
4. Incorrect. Microcephaly is a tiny head; there is no treatment.
You might also like to view...
A client waiting for surgery is very anxious. What intervention can the nurse delegate to the unlicensed assistive personnel (UAP)?
a. Assess the client's anxiety. b. Give the client a back rub. c. Remind the client to turn. d. Teach about postoperative care.
The best leadership style for unfavorable conditions is:
a. leader–member relations. b. task-oriented structure. c. position power. d. laissez faire.
During the assessment of a client's integumentary status the nurse notes "vitiligo present bilateral hands.". This documentation indicates which of the following information?
1. Nodules with ulcerations 2. Dark, asymmetrical colored patches 3. Grouped vesicles 4. Abnormal loss of melanin in patches
The primigravida has been pushing for 3 hours, and the fetus is making slow descent. The partner asks the nurse whether pushing for this long is normal. How should the nurse respond?
1. "Your baby is taking a little longer than average, but is making progress." 2. "First babies take a long time to be born. The next baby will be easier." 3. "The birth would go faster if you had taken prenatal classes and practiced." 4. "Every baby is different; there really are no norms for labor and birth."