A newborn's assessment reveals spina bifida occulta. Which maternal factor should the practical nurse (PN) identify as having the greatest impact on the development of this newborn complication?
Folic acid deficiency.
Preeclampsia.
Short interval pregnancy.
Tobacco use.
The Correct Answer is A
A. Folic acid deficiency is the most significant maternal factor associated with the development of spina bifida occulta. Adequate folic acid intake before and during pregnancy is crucial for preventing neural tube defects.
B. Preeclampsia is a serious pregnancy complication but does not have a direct link to spina bifida occulta compared to the impact of folic acid deficiency.
C. A short interval between pregnancies is associated with other risks but is not a known direct cause of spina bifida occulta.
D. Tobacco use has various adverse effects on pregnancy and fetal development but is not as directly linked to the risk of spina bifida occulta as folic acid deficiency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. C-reactive protein level is a general marker for inflammation and can indicate infection, but it does not provide specific information about the wound infection.
B. Serum albumin is important for assessing nutritional status and wound healing potential, but it does not directly address the acute issue of a possible wound infection.
C. Serum blood glucose level is significant, especially in clients with diabetes, as high glucose can impair healing and increase infection risk. However, it does not directly provide information about the infection itself.
D. Culture for sensitive organisms is the most relevant lab value to evaluate before reporting to the healthcare provider. It identifies the specific pathogens causing the infection and guides appropriate antibiotic treatment.
Correct Answer is ["B","D","E"]
Explanation
A. Subdural hemorrhage
The head CT was negative for bleeding or edema, making a subdural hemorrhage unlikely.
B. Respiratory distress
Given the history of drowning and the current signs of respiratory acidosis (pH 7.31, PaCO2 51), the child is at high risk for respiratory complications, including distress.
C. Hyperthermia
Hyperthermia is not a typical immediate complication following drowning in cool water, and the current body temperature of the child is within the normal range.
D. Cerebral edema
Although the initial CT scan is negative for edema, secondary cerebral edema can develop hours after the incident, especially in cases of significant hypoxemia.
E. Acute asphyxia
The initial incident of drowning and the resultant hypoxemia (as indicated by abnormal blood gases) place the child at risk for complications related to acute asphyxia.
F. Hypertension
The child's blood pressure is currently within normal limits, and hypertension is not a common immediate complication following drowning.
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