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

Answer and Explanation

The Correct Answer is B

Rationale for A: Monitoring the rectal temperature is important, but every 4 hours may not be frequent enough to assess for signs of infection or other complications in a newborn with myelomeningocele.

Rationale for B: Administering broad-spectrum antibiotics is crucial to prevent infection, especially in cases of myelomeningocele where the protective covering of the spinal cord is compromised.

Rationale for C: Cleansing the site with povidone-iodine is not recommended as it can be irritating and potentially harmful to the delicate tissue surrounding the defect.

Rationale for D: Surgical closure is typically performed as soon as possible after birth, often within 24 hours, rather than delaying it for 72 hours.

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Correct Answer is B

Explanation

Hyperglycemia, or high blood sugar, can cause increased urination as the body tries to remove excess glucose from the blood. This can lead to dehydration and increased thirst.

A. Pregnancy-induced hypertension B. Retained placental fragments C. oligohydramnios D. Meconium-stained ﬂuid

Correct Answer is B

Explanation

Postpartum haemorrhage (PPH) is defined as excessive bleeding following the birth of a baby. It is a major cause of maternal morbidity and mortality worldwide. Risk factors for PPH include uterine atony, retained placental fragments, genital tract trauma, coagulopathy, and previous history of PPH.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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