A newborn has been admitted to the intensive care unit with a diagnosis of myelomeningocele. The nurse could expect which of the following with the disorder?

Partial to complete paralysis in the lower extremities

Unilateral port-wine birthmark

A protruding sac containing abdominal contents

A fusion of cranial suture lines

Answer and Explanation

The Correct Answer is A

A. Myelomeningocele is a type of spina bifida where there is a protrusion of the meninges and spinal cord through a defect in the vertebrae. This condition can result in partial to complete paralysis in the lower extremities due to the involvement of the spinal cord.

B. A unilateral port-wine birthmark is typically associated with conditions like Sturge-Weber syndrome, not myelomeningocele.

C. A protruding sac containing abdominal contents is characteristic of omphalocele, not myelomeningocele.

D. Fusion of cranial suture lines is not associated with myelomeningocele but rather with craniosynostosis.

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Correct Answer is ["23"]

Explanation

To calculate the IV fluid rate, first, convert the infant's weight from pounds and ounces to kilograms. There are 2.2 pounds in one kilogram. The infant weighs 16 pounds and 8 ounces, which is 16.5 pounds or approximately 7.5 kilograms when converted (16.5 pounds ÷ 2.2 pounds per kilogram). Next, multiply the infant's weight in kilograms by the prescribed amount of IV fluid, which is 6 mL/kg. This results in 45 mL (7.5 kg × 6 mL/kg). Since the fluid is to be infused over 2 hours, divide the total volume of 45 mL by 2 hours to find the rate per hour. The IV pump should be set to deliver approximately 22.5 mL/hr. After rounding to the nearest whole number, the IV pump should be set to deliver 23 mL/hr.

A. "We can anticipate needing intravenous fluids to correct the dehydration." B. "I will continue to give oral rehydration in small amounts." C. "Chicken broth will replace the needed electrolytes lost." D. "If my child's soft spot becomes depressed, I will notify the healthcare provider immediately."

Correct Answer is B

Explanation

A. Intravenous fluids are generally not required if the child is alert and active with mild dehydration; oral rehydration is usually sufficient.

B. Oral rehydration solutions are appropriate for treating mild dehydration and should be given in small amounts frequently.

C. Chicken broth is not ideal for replacing electrolytes because it is low in electrolytes and high in sodium. Oral rehydration solutions are preferred.

D. A depressed soft spot (fontanel) is a sign of severe dehydration in infants. For a 4-year-old, signs of dehydration would include changes in urine output, thirst, or dry mucous membranes rather than a depressed fontanel.

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A newborn has been admitted to the intensive care unit with a diagnosis of myelomeningocele. The nurse could expect which of the following with the disorder?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["23"]

Explanation

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Correct Answer is B

Explanation

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