The nurse is preparing to admit a 5-year-old with spina bifida cystica that was below the second lumbar vertebra. What clinical manifestations of spina bifida cystica below the second lumbar vertebra should the nurse expect to observe?
(Select all that apply.)
a. No motor impairment
b. Lack of bowel control
c. Soft, subcutaneous lipomas
d. Flaccid, partial paralysis of lower extremities
e. Overflow incontinence with constant dribbling of urine
ANS: B, D, E
The clinical manifestations of spina bifida cystica below the second lumbar vertebra include lack of bowel control, flaccid, partial paralysis of lower extremities, and overflow incontinence with constant dribbling of urine. No motor impairment occurs with spina bifida cystica that was below the third lumbar vertebra, and soft, subcutaneous lipomas occur with spina bifida occulta.
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