A nurse is caring for a newborn who was born 6 hr ago.
Complete the diagram by dragging from the choices below to specify what condition the newborn is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the newborn's progress.
The Correct Answer is []
Potential condition
Correct Answer: B. Meningocele
Rationale: Based on the provided physical examination details, the newborn is most likely experiencing a meningocele, which is indicated by the presence of a sac in the lumbar area. This condition is a type of neural tube defect where a sac of fluid comes through an opening in the baby's back. However, the absence of other neurological symptoms and the intact reflexes suggest that the condition has not severely affected the newborn's neurological functions.
Actions to Take (2)
Correct Answers: C, E
The two actions the nurse should take to address this condition include: applying a non-adhering sterile saline moist compress to the sac to prevent it from drying and to protect it from trauma, and educating the guardians about the condition, its implications, and the potential need for surgical intervention to repair the defect.
Parameters to monitor
Correct Answer: A, C
Rationale: The two parameters the nurse should monitor to assess the newborn's progress are the head circumference and serial head ultrasounds. Monitoring head circumference is crucial as an increase may indicate hydrocephalus, which can be associated with meningocele. Serial head ultrasounds are necessary to assess for any changes in the brain structure or development of hydrocephalus. These measures will help ensure that any complications are identified and managed promptly.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. While covering the cord with a sterile, moist saline dressing is important, it is not the first priority when the umbilical cord is prolapsed.
B. While preparing for an immediate birth may become necessary, the first action should be to relieve pressure on the cord to prevent cord compression and compromise to fetal circulation.
C. This is the priority action to prevent cord compression and maintain fetal oxygenation.
D. Placing the client in the knee-chest position can help relieve pressure on the cord, but the nurse's immediate action should be to manually support the cord while awaiting further
instructions from the healthcare provider.
Correct Answer is A
Explanation
A. "If suspicion of abuse exists then reporting is mandatory."
Rationale:
A. "If suspicion of abuse exists then reporting is mandatory.": Reporting suspected child abuse is mandatory for healthcare workers when there is a reasonable suspicion or belief that a child is being abused or neglected. This is to ensure the safety and well-being of the child.
B. "If the potential abuser commits to stopping the abuse, health care workers are not required to report it.": Regardless of the abuser's commitment to stop, healthcare workers are still required to report suspected abuse.
C. "Evidence must exist prior to reporting.": While evidence can strengthen a case, suspicion alone is sufficient to trigger the mandatory reporting of child abuse.
D. "I don't want to defame someone if the report is false.": Reporting suspected abuse is a legal obligation, and defaming someone is not the purpose of reporting. Authorities are responsible for investigating the validity of the report.
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