A nurse is planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?
Monitor the rectal temperature every 4 hr.
Administer broad-spectrum antibiotics.
Cleanse the site with povidone-iodine.
Prepare for surgical closure after 72 hr
The Correct Answer is B
A. Monitor the rectal temperature every 4 hr: Rectal temperature measurement is contraindicated in this newborn due to the risk of trauma to the spinal cord or irritation of the leaking sac. Axillary temperature monitoring is a safer alternative.
B. Administer broad-spectrum antibiotics: Broad-spectrum antibiotics help prevent infection from organisms entering through the exposed or leaking sac. This is a priority intervention to ensure the safety of the newborn.
C. Cleanse the site with povidone-iodine: Povidone-iodine is not recommended for cleansing the sac, as it can cause irritation or toxicity. Instead, the sac should be kept clean and moist with a sterile, saline-soaked dressing.
D. Prepare for surgical closure after 72 hr: Surgical closure of the defect is typically performed within 24 to 48 hours after birth to minimize infection risk and prevent further damage to neural tissue. Waiting beyond this window is not standard practice for a leaking myelomeningocele.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Move your toddler to his new bed 2 months before the baby comes home.": While moving the toddler to a new bed ahead of time may reduce disruption, it does not directly address fostering a relationship between the toddler and the new sibling.
B. "Avoid bringing your toddler to prenatal visits.": This discourages inclusion and may make the toddler feel left out of the excitement and preparations.
C. "Require scheduled interactions between the toddler and the baby.": Establishing structured, predictable interactions ensures the toddler becomes familiar with and accepts the baby as part of their life. These positive, guided interactions can help the toddler develop affection for their sibling and feel included.
D. "Let your toddler see you carrying the baby into the home for the first time.": This approach could make the toddler feel excluded, as it focuses on the baby rather than involving the toddler in the homecoming experience.
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
Explanation
The correct answer is Eating a well-balanced diet and exercising for 30 minutes per day.
Itcan help to reduce stress and improve mood, which can help to prevent postpartum depression. This provide the body with the essential nutrients it needs to function properly and maintain good health. Exercise can help to reduce stress and improve mood by releasing endorphins, which are hormones that can help to improve mood and reduce stress.
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