A nurse is caring for a newborn who has hydrocephalus. Which of the following manifestations should the nurse expect to find?
A backward sloping appearance of the forehead.
Dilated scalp veins
Over-riding suture lines
Hypertension
The Correct Answer is B
Hydrocephalus is a condition characterized by the accumulation of cerebrospinal fluid (CSF) within the ventricles of the brain, leading to increased intracranial pressure. Manifestations of hydrocephalus in a newborn may include dilated scalp veins, sunset eyes, head enlargement and sutural diastasis due to increased intracranial pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A Panting helps the client manage the urge to push and prevents premature pushing, which can cause cervical swelling or injury. This technique helps delay pushing until full dilation is achieved, ensuring a safer delivery process.
B. Helping the client into a comfortable position can facilitate labor progress. However, it may not be the most urgent action given the potential imminent delivery.
C. Voiding is a common suggestion during labor, but if the client feels the urge to push, it may be an indication that the baby is descending and delivery is imminent.
D. The client's urge to push indicates that the baby is descending, and birth is imminent. It would not be safe to have the client walk to the bathroom at this stage, as she may deliver the baby during the process, increasing the risk of an unattended birth.
Correct Answer is ["B","E"]
Explanation
Post maturity refers to a pregnancy that extends beyond 42 weeks of gestation. Newborns who are postmature may exhibit certain characteristics due to the prolonged time spent in the uterus.
These include cracked, peeling skin, abundant vernix, overgrown nails, increased scalp hair, decreased subcutaneous fat and deep creases on the palms and soles.
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