A nurse is caring for an infant post operative closure of a myelomeningocele. Which intervention is essential for providing basic care and comfort following myelomeningocele sac closure?
Avoiding any oral feedings for the first 24 hours to prevent aspiration
Applying direct pressure to the surgical site if bleeding occurs.
Frequent diaper changes and keeping the incision site clean and dry
Allowing the infant to lie flat on their back to promote spinal alignment
The Correct Answer is C
A. Avoiding oral feedings may not be necessary unless there are specific complications. The focus should be on preventing aspiration, but not necessarily withholding feedings.
B. Direct pressure should not be applied to the surgical site unless directed by a provider, as this could cause further complications.
C. Frequent diaper changes and keeping the incision site clean and dry is essential to prevent infection and protect the surgical site.
D. The infant should be positioned according to the provider's orders to avoid pressure on the surgical site and spinal cord, but lying flat may not always be necessary.
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Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Duchenne muscular dystrophy is caused by a mutation in the dystrophin gene, which is X-linked, meaning it is passed down from carrier mothers to affected sons. It primarily affects boys.
B. Children with DMD usually lose the ability to walk by the age of 12 due to progressive muscle weakness.
C. DMD is characterized by the progressive degeneration and weakness of the skeletal muscles, leading to loss of function over time.
D. While most children with DMD will become wheelchair-bound, some may be able to ambulate independently until the early teenage years, before losing the ability to walk.
E. Hospitalization is not always required for DMD. Treatment may include outpatient therapies and management of symptoms. The need for hospitalization depends on complications.
Correct Answer is ["C","D","E","F"]
Explanation
A. Pyloric stenosis is unrelated to TOF. It involves the narrowing of the pyloric valve in the stomach and is not a defect associated with TOF.
B. LVH is not typically a feature of TOF, as the primary issues affect the right ventricle.
C. Right ventricular hypertrophy occurs due to the obstruction of blood flow through the pulmonary valve in TOF.
D. In TOF, the aorta is positioned directly over the ventricular septal defect (VSD), which is known as overriding aorta.
E. A VSD is a key component of TOF, where there is a hole between the ventricles, allowing oxygen-poor and oxygen-rich blood to mix.
F. Pulmonary stenosis (narrowing of the pulmonary valve) is one of the hallmark defects in TOF.
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