ATI LPN
Introduction to Maternity and Pediatric Nursing 9th Edition Test Bank
Chapter 14 Questions
Question 1 of 5
What occurrence results from obstruction within the ventricles of the brain or inadequate reabsorption of cerebrospinal fluid?
Correct Answer: D
Rationale: Hydrocephalus is characterized by an increase in cerebrospinal fluid in the ventricles of the brain due to obstruction or inadequate reabsorption.
Question 2 of 5
What nursing action is most important for this nurse to implement?
Correct Answer: B
Rationale: The child with hydrocephalus has a heavy head on a small body with poor muscle tone; supporting the head during feeding and moving prevents neck injury.
Question 3 of 5
How should the nurse position this infant?
Correct Answer: D
Rationale: A semi-Fowler's position promotes drainage from the ventricles through the shunt in an infant with bulging fontanelles post-ventriculoperitoneal shunt.
Question 4 of 5
What nursing action will the nurse implement after feeding an infant with hydrocephalus?
Correct Answer: C
Rationale: Children with hydrocephalus are prone to vomiting; a side-lying position in a quiet atmosphere after feeding reduces the incidence of vomiting.
Question 5 of 5
What is the priority preoperative nursing care of this newborn?
Correct Answer: C
Rationale: The infant with meningomyelocele is placed prone in a humidified incubator with the sac covered with sterile saline dressings to protect the lesion.