One of the greatest immediate risks to an infant with a myelomeningocele is:
Gastric problems later in life.
Respiratory depression.
Decreased cardiac output.
Infection.
The Correct Answer is D
Choice A rationale
Gastric problems later in life, such as gastrointestinal motility issues, may occur in infants with myelomeningocele but are not an immediate risk requiring urgent intervention.
Choice B rationale
Respiratory depression is not a direct consequence of myelomeningocele unless associated with other congenital anomalies or complications like Chiari malformation affecting brainstem function.
Choice C rationale
Decreased cardiac output is not a primary concern in myelomeningocele unless secondary to severe infection or other systemic complications, which are less immediate risks.
Choice D rationale
Infection is the greatest immediate risk due to the exposed neural tissue in myelomeningocele, which provides a direct pathway for pathogens, necessitating prompt surgical closure and sterile management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Maternal mortality in the United States is among the highest in industrialized nations, with rates significantly exceeding those of comparable countries due to systemic healthcare disparities and limited access to care.
Choice B rationale
The United States has a maternal mortality rate of approximately 18.6 deaths per 100,000 live births, which is higher than other industrialized nations, where rates are often below 10 deaths per 100,000 live births.
Correct Answer is D
Explanation
Choice A rationale
A soft fundus indicates uterine atony, an abnormal finding requiring immediate intervention. This teaching would lead to improper patient monitoring of complications such as hemorrhage.
Choice B rationale
Clots as large as a golf ball are not considered normal and may signal uterine atony or retained placental fragments, which necessitate medical intervention for hemorrhage risk.
Choice C rationale
Decreased brownish-red lochia may reflect normal postpartum changes as it progresses to serosa and alba but is not typically an indicator of complications.
Choice D rationale
Increased lochia or a return to bright red bleeding signals potential complications like subinvolution or late postpartum hemorrhage, which demand prompt medical attention.
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