An infant with a myelomeningocele is having his he

Question 1 of 5

An infant with a myelomeningocele is having his head circumference measured regularly. The parents ask why. Select the nursbest response.

A. Babiheads are measured to ensure growth is on track. B. Babiwith a myelomeningocele are at risk for hydrocephalus, which shows up as an increase in head size. C. Because your baby has an opening on the spinal cord, your infant is at risk for meningitis, which can show up as an increase in head size. D. Many infants with myelomeningocele have microcephaly, which can show up as a decrease in head size.

Correct Answer: B

Rationale: Risk for hydrocephalus is best, per neurosurgery texts. Myelomeningocele often caushydrocephalus via Chiari malformation, detected by head circumference. General growth is vague; meningitis unrelated; microcephaly false. Bs specificity makes itthe correct answer.

Question 2 of 5

The parents of a 12-month-old with cerebral palsy (CP) ask if they should teach their child sign language because he has not begun to vocalize. The nursresponse is based on the knowledge that sign language:

A. May be a very beneficial way to help children with CP communicate. B. May cause confusion and further delay vocalization. C. Is difficult to learn for most children with CP. D. Is beneficial to learn, but it would be best to wait until the child is older.

Correct Answer: A

Rationale: Beneficial for communication is best, per CP therapy texts. Sign language aids expression when vocalization lags, reducing frustration. Confusion , difficulty , and delay lack evidence. As support makes itthe correct answer.

Question 3 of 5

Which activity should an adolescent recently diagnosed with epilepsy avoid?

A. Swimming, even with a friend. B. Being in a car at night. C. Participating in any strenuous activities. D. Returning to school right away.

Correct Answer: B

Rationale: Being in a car at night should be avoided, per epilepsy safety. Light reflections may trigger seizur(photic sensitivity). Swimming is safe supervised; exertion and school arent triggers. Bs risk makes itthe correct answer.

Question 4 of 5

Which is included in the plan of care for a newborn who has a myelomeningocele?

A. Place the child in the prone position with a sterile dry dressing over the defect. Slowly begin oral gastric feeds to prevent necrotizing enterocolitis. B. Place the child in the prone position with a sterile dry dressing over the defect. Begin intravenous fluids to prevent dehydration. C. Place the child in the prone position with a sterile moist dressing over the defect. Slowly begin oral gastric feeds to prevent necrotizing enterocolitis. D. Place the child in the prone position with a sterile moist dressing over the defect. Begin intravenous fluids to prevent dehydration.

Correct Answer: D

Rationale: Prone with moist dressing and IV fluids is the plan for myelomeningocele, per neonatal care. Prone protects the sac; moist prevents drying; IV avoids feeding risks pre-surgery. Dry (A, B) risks rupture; feeds (A, C) premature. Ds safety makes itthe correct answer.

Question 5 of 5

Which position is most beneficial initially for an infant who has just returned from having a ventriculoperitoneal (VP) shunt placed?

A. Semi-Fowler in an infant seat. B. Flat in the crib. C. Trendelenburg. D. In the crib with the head elevated to 90Â°.

Correct Answer: B

Rationale: Flat in the crib is best post-VP shunt, per neurosurgery protocols, avoiding rapid CSF drainage and pressure shifts. Semi-Fowler and 90Â° are gradual; Trendelenburg risks ICP. Bs stability makes itthe correct answer.

An infant with a myelomeningocele is having his head circumference measured regularly. The parents ask why. Select the nursbest response.

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