A child with spina bifida is at risk for developing which of the following complications?

Hypertension.

Urinary tract infections.

Hearing loss.

Type 1 diabetes.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Hypertension is not typically associated with spina bifida. While it can occur in any individual based on a variety of factors such as diet, lifestyle, and genetics, it is not a direct complication of spina bifida.

Choice B rationale

Urinary tract infections are a common complication in individuals with spina bifida. This is because many people with this condition often cannot control their bladder and bowel movements, which can lead to infections. The nerves that control the bladder and bowel are often damaged in spina bifida, leading to issues with these functions and increasing the risk of urinary tract infections.

Choice C rationale

Hearing loss is not typically a complication of spina bifida. While hearing loss can occur due to a variety of reasons such as age, exposure to loud noises, and certain illnesses, it is not directly related to spina bifida.

Choice D rationale

Type 1 diabetes is not a known complication of spina bifida. Diabetes is a condition that affects the body’s ability to regulate blood sugar levels and is not directly related to the neurological and physical issues caused by spina bifida.

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Correct Answer is A

Explanation

Choice A rationale

The statement “My baby will be placed under special lights if the test is elevated” indicates a need for further teaching. This statement is incorrect because phototherapy (special lights) is not used to treat phenylketonuria (PKU). PKU is a genetic disorder that results in the body’s inability to metabolize the amino acid phenylalanine. If left untreated, it can lead to intellectual disability and other serious health problems. The treatment for PKU involves a special diet that is low in phenylalanine. Therefore, the parent’s statement about using special lights for treatment indicates a misunderstanding about the nature of PKU and its treatment.

Choice B rationale

The statement “Sometimes the test is repeated in the doctor’s office at the 2-week check-up” is correct. PKU is usually diagnosed through a routine newborn screening test, and if the initial test results are positive or unclear, the test may be repeated.

Choice C rationale

The statement “My baby must take formula or breast milk before the test is done” is correct. For accurate results, the PKU test is done after the baby is 24 hours old and after the baby has had some protein in the diet.

Choice D rationale

The statement “This test checks for a genetic disorder that can be corrected by diet” is correct. PKU is a genetic disorder that can be managed with a special diet low in phenylalanine.

A. Carotid. B. Dorsalis pedis. C. Temporal. D. Apical.

Correct Answer is D

Explanation

Choice A rationale

The carotid pulse is not the most reliable location to check an infant’s pulse because it can be difficult to locate and can cause discomfort to the infant.

Choice B rationale

The dorsalis pedis pulse is not the most reliable location to check an infant’s pulse because it can be difficult to locate in small infants.

Choice C rationale

The temporal pulse is not the most reliable location to check an infant’s pulse because it can be affected by external factors such as temperature and can be difficult to locate in small infants.

Choice D rationale

The apical pulse is the most reliable location to check an infant’s pulse. It is located at the apex of the heart and can be easily heard using a stethoscope. It provides the most accurate assessment of the heart rate.

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A child with spina bifida is at risk for developing which of the following complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about phenylketonuria (PKU) testing with the parent of a newborn.Which of the following statements by the parent indicates a need for further teaching?

Correct Answer is A

Explanation

A nurse is collecting data from an infant.Which of the following sites is the most reliable location to check the infant’s pulse?

Correct Answer is D

Explanation

A nurse is caring for a 4-year-old child who had an incident of bedwetting during hospitalization. The child’s parents express concern about the incident. Which of the following responses should the nurse make?

The nurse is providing care to a child with Down syndrome. Which body system has the highest risk of congenital anomaly in a child with Down syndrome?

When suctioning a child with a tracheostomy, what should the nurse do to maintain a patent airway and prevent complications?

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A nurse is reinforcing teaching with the mother of a 2-month-old infant whose provider applied a Pavlik harness 1 week earlier for the treatment of developmental hip dysplasia.Which of the following statements by the mother indicates an understanding of the teaching?

A nurse is preparing to administer an IM injection to a preschool-age child.Which of the following actions should the nurse take?

A nurse is reinforcing teaching with the mother of a 9-month-old infant regarding appropriate dietary choices.Which of the following observations by the nurse indicates a need for further teaching?