Nursing care management of the child with bacterial meningitis includes which interventions? (Select all that apply).

A. A fontanelle that bulges with crying.

Myelomeningocele is a congenital neural tube defect that involves the spinal cord. It is associated with an increased risk of hydrocephalus, which can lead to increased intracranial pressure (ICP). The fontanelle (soft spot) on an infant's head can provide insight into ICP. When an infant with myelomeningocele has an increase in intracranial pressure, the fontanelle may bulge, especially when the infant cries. This is due to the buildup of cerebrospinal fluid within the skull.

B. Increased respiratory rate: While increased intracranial pressure can affect various body systems, an increased respiratory rate is not a specific sign of ICP associated with myelomeningocele.

C. A high-pitched cry: A high-pitched cry is not typically associated with increased intracranial pressure in the context of myelomeningocele. Signs of ICP in infants may include irritability, lethargy, vomiting, and changes in head circumference.

D. Tachycardia: Tachycardia can be a response to stress or discomfort in an infant, but it is not a specific indicator of increased intracranial pressure related to myelomeningocele.

Iron-rich foods that should be recommended for a toddler with iron deficiency anemia include:

B. Chicken: Chicken, especially dark meat, is a good source of heme iron, which is easily absorbed by the body.

C. Lean Steak: Lean beef, such as steak, is also a good source of heme iron.

Non-heme iron from plant-based sources is also beneficial but is generally less easily absorbed. So, the following options are non-heme iron sources:

A. Broccoli: While broccoli contains iron, it is a non-heme iron source. It can still contribute to iron intake, but it's not as efficient as heme iron from animal sources.

D. Carrots: Similar to broccoli, carrots contain non-heme iron, but they can be part of a balanced diet for increasing iron intake.

E. Whole Milk: Whole milk can interfere with iron absorption in the body. It's not recommended for children with iron deficiency anemia, as it can make the condition worse. It's better to choose lower-fat milk or alternative milk sources.

Additionally, other sources of iron-rich foods for toddlers can include fortified cereals, legumes (like lentils and beans), and fortified infant formulas if needed. Always consult with a healthcare provider for specific dietary recommendations based on the child's condition.