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 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
Correct Answer is B
Explanation
The symptoms describe indicate the presence of DVT which is a serious complication associated with childbirth. In addition to advising the client to see her provider immediately, the nurse should suggest interventions such as limb elevate to promote venous return and minimize discomfort.
A. Massaging the affected area can dislodge the blood clot and lead to a pulmonary embolism.
C. Cold compresses may help reduce pain and inflammation, but they do not address the underlying issue of a potential DVT.
D. Flexing the knee while resting can help improve blood flow in the affected leg and prevent stagnation but does not address the issue.
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