After your discussion with the family, which of the father's statements would indicate a need
for more teaching?
a. "My baby's malformation can also be referred to as spina bifida cystica."
b. "My baby will probably not require surgery until she is a year old."
c. "My baby will need to lie on her stomach in her incubator."
d. "I need to wash my hands carefully to prevent spread of germs."
b
Options a, c, and d are correct statements. Meningocele and myelomeningocele are also referred
to as spina bifida cystica. Spina bifida occulta is a group of malformations that usually have no visible
manifestations. Infants with spina bifida cystica should be positioned prone to limit trauma and
tension to the sac. Infection is always a concern. Strict infection control should be observed. Early
surgical intervention within 24 to 72 hours usually offers the most favorable results, especially for
infants with meningomyelocele, and helps prevent infection and trauma to the sac.
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In most instances, the nurse who signs as a witness on a consent form is affirming that
A) the patient received informed consent. B) the patient's signature is not a forgery. C) the physician's signature is not a forgery. D) the patient understands the procedure.
The nurse is working in a Planned Pregnancy clinic performing counseling with women considering abortions. The nurse advises her patients that the administration of what agent would precipitate strong uterine contractions that result in abortion?
A) Mifepristone B) Testosteron C) Methotrexate D) Clomiphene
While performing an admission assessment, the nurse auscultates a high-pitched, scratching, and grating sound at the left lower sternal border. The nurse should know that this would be documented as what type of sound?
A) Paradoxical sound B) Split sound C) Pericardial murmur D) Pericardial friction rub
According to the Neuman systems model, a deteriorating/emerging city would be an example of which of the following community variables?
a. Psychological b. Sociocultural c. Physiological d. Developmental