What is the most appropriate nursing response to the father of a newborn infant with myelomeningocele who asks about the cause of this condition?
a. "One of the parents carries a defective gene that causes myelomeningocele."
b. "A deficiency in folic acid in the father is the most likely cause."
c. "Offspring of parents who have a spinal abnormality are at greater risk for
myelomeningocele."
d. "There may be no definitive cause identified."
D
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A The exact cause of most cases of neural tube defects is unknown. There may be a
genetic predisposition, but no pattern has been identified.
B Folic acid deficiency in the mother has been linked to neural tube defect.
C There is no evidence that children who have parents with spinal problems are at
greater risk for neural tube defects.
D The etiology of most neural tube defects is unknown in most cases. There may
be a genetic predisposition or a viral origin, and the disorder has been linked to
maternal folic acid deficiency; however, the actual cause has not been
determined.
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