The parent of a newborn diagnosed with myelomeningocele asks about common long-term complications. What is the nurse's best response?
learning disabilities
urinary tract infections
hydrocephalus
decubitus ulcers and skin breakdown
The Correct Answer is C
Rationale:
A. Learning disabilities may occur but are not as consistently associated with myelomeningocele as other complications.
B. Urinary tract infections can occur due to neurogenic bladder, but they are considered secondary complications.
C. Hydrocephalus is a very common long-term complication of myelomeningocele, occurring in up to 80–90% of cases. It often requires a ventriculoperitoneal (VP) shunt.
D. Skin breakdown is a concern in immobile children but is not as prevalent or immediately life-altering as hydrocephalus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","E"]
Explanation
Rationale:
A. Removing clothing over the rash helps eliminate any remaining irritant oils from the plant, which can prevent further skin exposure.
B. Contact dermatitis from poison ivy is not contagious; isolation is unnecessary.
C. Heat exposure can worsen inflammation and itching. It is not a recommended treatment.
D. Hydrogen peroxide can further irritate the skin and is not appropriate for cleansing poison ivy rash. Mild soap and water are recommended.
E. Calamine lotion helps soothe itching and provides relief from discomfort caused by the rash.
Correct Answer is D
Explanation
Rationale:
A. Parainfluenza virus typically causes respiratory illnesses like croup, not skin infections.
B. Respiratory syncytial virus (RSV) primarily affects the lower respiratory tract in infants and young children and is unrelated to skin infections.
C. Escherichia coli is more commonly associated with gastrointestinal and urinary tract infections, not skin infections.
D. Streptococcus species, particularly Streptococcus pyogenes (Group A strep), are a common cause of cellulitis, especially in children. The infection often enters through breaks in the skin, leading to inflammation and infection of the deeper dermis and subcutaneous tissue.
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