A nurse is caring for a newborn who has hydrocephalus. Which of the following manifestations should the nurse expect to find?
A backward sloping appearance of the forehead.
Dilated scalp veins
Over-riding suture lines
Hypertension
The Correct Answer is B
Hydrocephalus is a condition characterized by the accumulation of cerebrospinal fluid (CSF) within the ventricles of the brain, leading to increased intracranial pressure. Manifestations of hydrocephalus in a newborn may include dilated scalp veins, sunset eyes, head enlargement and sutural diastasis due to increased intracranial pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale
The client's respiratory rate of 10/min and absent deep-tendon reflexes are signs of magnesium sulfate toxicity, which can lead to respiratory depression and neuromuscular blockade. The nurse should stop the infusion immediately.
A Monitoring blood glucose is important, but not a priority.
B. Magnesium sulphate toxicity is not an indication for emergency delivery.
C. Placing the client in Trendelenburg position is not appropriate in this situation. trendelenburg position could worsen respiratory depression and compromise the client's airway.
Correct Answer is A
Explanation
The likely cause of postpartum hypotension is PPH. Assessing the client should be the first step before initiating management.
B. Oxytocin infusion is used to prevent or manage uterine atony and postpartum hemorrhage.
Assessment should be done before administration of oxytocin.
C. Obtaining a type and crossmatch is important if there is established hemorrhage. Should follow assessment
D. Initiating oxygen therapy by nonrebreather mask should be done after established hypoxemia on assessment of vital signs
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