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 A

Explanation

A. Activities should be tailored to the child’s developmental level, as children with spastic cerebral palsy may have delays in reaching developmental milestones.

B. Corticosteroids are not typically used for cerebral palsy, as it is a non-progressive condition affecting motor function, not an inflammatory condition.

C. Cerebral palsy is non-progressive, meaning it does not worsen over time, though the muscle tightness (spasticity) may change as the child grows.

D. While prenatal screening can detect certain risk factors, it cannot predict the occurrence of cerebral palsy with certainty.

A. Profound cyanosis B. Periorbital edema C. Absent femoral pulses D. Decreased blood pressure to lower extremities

Correct Answer is A

Explanation

A. Profound cyanosis is a key sign of tricuspid atresia, a congenital heart defect where the tricuspid valve is absent, leading to poor oxygenation of the blood.

B. Periorbital edema is not typically associated with tricuspid atresia; it might be seen in other conditions like nephrotic syndrome.

C. Absent femoral pulses suggest coarctation of the aorta rather than tricuspid atresia.

D. Decreased blood pressure in the lower extremities is also more indicative of coarctation of the aorta, not tricuspid atresia.

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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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