An infant born with hydrocephalus is to be discharged after insertion of a ventriculoperitoneal shunt. Which common complication of this type of surgery should the nurse explain to the parents to prepare them for their child's discharge?
Anonymous Quiz
6%
Violent involuntary muscle contractions
25%
Eyes with sclerae visible above the irises
55%
Excessive fluid accumulation in the abdomen
14%
Fever accompanied by decreased responsiveness
When a developmental appraisal is performed on @ 6-month-old infant, which observation is most important to the nurse in light of a diagnosis of hydrocephalus?
Anonymous Quiz
29%
Head lag
30%
Positive Babinski reflex
35%
Inability to sitvsunsupported
5%
Absence of the grasp reflex
An infant who was born with a meningomyelocele develops hydrocephalus. A ventriculoperitoneal shunt is inserted. What nursing intervention is essential in this infant's care during the first 24 hours after surgery?
Anonymous Quiz
9%
Placing in high-Fowler position
24%
Administering the prescribed sedative
19%
Positioning on the same side as the shunt
48%
Monitoring for increasing intracranial pressure
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The parents of an infant who just had a ventriculoperitoneal shunt inserted for hydrocephalus are concerned about the prognosis. What information should the nurse give the parents?
Anonymous Quiz
8%
The prognosis is excellent and the valve is permanent.
42%
The shunt may need to be revised as the child grows older.
28%
If any brain damage has occurred, it is irreversible even after the first year of life.
22%
Hydrocephalus usually is self-limiting by 2 years of age, and then the shunt is removed.
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An infant with hydrocephalus has a ventriculoperitoneal (VP) shunt surgically inserted. What nursing care is essential during the first 24 hours after this procedure?
Anonymous Quiz
1%
Medicating the infant for pain
27%
Placing the infant in a high-Fowler position
19%
Positioning the infant on the side that has the shunt
53%
Monitoring the infant for increasing intracranial pressure
❤5
The parents of an infant who has had a surgical repair of a myelomeningocele express concern about skin care and ask what they can do to avoid problems. The nurse should teach the parents that their infant:
Anonymous Quiz
17%
will require long-term multidisciplinary follow-up care.
28%
should take prophylactic antibiotic therapy indefinitely.
31%
must be kept dry by applying powder after each diaper change
24%
does not need anything more than routine cleansing and diaper changes.
❤1
What is the primary nursing intervention for an infant with a myelomeningocele before surgical correction?
Anonymous Quiz
13%
Minimize infection.
46%
Prevent trauma to the sac.
14%
Observe for increasing paralysis.
27%
Assess the degree of bowel and bladder control.
An infant with a myelomeningocele is admitted to the pediatric intensive care unit (PICU). While the infant is awaiting surgical correction of the defect, what is the most appropriate nursing intervention?
Anonymous Quiz
3%
Using disposable diapers
51%
Placing the infant in the prone position
40%
Performing neurologic checks above the site of the lesion
6%
Washing the area below the defect with a nontoxic antiseptic
After closure of a newborn's myelomeningocele, what essential nursing intervention must be included in the plan of care?
Anonymous Quiz
7%
Limiting leg movement
20%
Decreasing environmental stimuli
45%
Measuring head circumference daily
28%
Observing for serous drainage from the nares
A nurse is caring for a newborn with a myelomeningocele. What should immediate nursing care for this infant include?
Anonymous Quiz
4%
Changing diapers immediately whe when moist
21%
Placing the infant in the reverse Trendelenburg position
68%
Applying sterile, moist, nonadherent dressings to the sac
7%
Positioning the infant prone with the legs slightly adducted
A nurse is caring for a newborn with a myelomeningocele. What should immediate nursing care for this infant include?
Anonymous Quiz
7%
Changing diapers immediately whe when moist
18%
Placing the infant in the reverse Trendelenburg position
59%
Applying sterile, moist, nonadherent dressings to the sac
16%
Positioning the infant prone with the legs slightly adducted
A newborn is admitted to the neonatal intensive care unit(NICU) with a myelomeningocele. What is the priority nursing intervention during the first 24 hours?
Anonymous Quiz
42%
Place the infant prone or in a side-lying position.
21%
Wash the infant's genital area with an anti infective.
35%
Perform neurologic checks above or at the site of the lesion.
2%
None
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