A nurse is teaching about neural tube defects to a group of females who are pregnant.

Which of the following disease processes should the nurse include as an example of a neural tube defect?

Hydrocephalus.

Cerebral palsy.

Spina bifida.

Muscular dystrophy.

Answer and Explanation

The Correct Answer is C

Neural tube defects are birth defects of the brain, spine, or spinal cord that happen in the ﬁrst month of pregnancy.
Spina biﬁda is a neural tube defect that aﬀects the spine.
Choice A, Hydrocephalus, is not a neural tube defect but rather a condition where there is an accumulation of cerebrospinal ﬂuid within the brain.
Choice B, Cerebral palsy, is not a neural tube defect but rather a group of disorders that aﬀect movement and muscle tone or posture.
Choice D, Muscular dystrophy, is not a neural tube defect but rather a group of genetic diseases that cause progressive weakness and loss of muscle mass.

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Correct Answer is D

Explanation

The nurse should ﬁrst oﬀer the mother's private time with the newborn to allow her to grieve and say goodbye.
This can be an important part of the healing process for the mother.
Choice A is not an answer because contacting clergy is not the ﬁrst action the nurse should take.
Choice B is not an answer because transferring the client to another unit is not the ﬁrst action the nurse should take.
Choice C is not an answer because administering medication is not the ﬁrst action the nurse should take.

A. 0.5 mL/kg/hr. B. 15 mL/kg/hr. C. 2 mL/kg/hr. D. 7.5 mL/kg/hr.

Correct Answer is C

Explanation

The correct answer is C. 2 mL/kg/hr.

Choice A rationale: An output of 0.5 mL/kg/hr is insufficient and indicative of ongoing dehydration or inadequate fluid intake.

Choice B rationale: An output of 15 mL/kg/hr is excessive and could suggest overhydration or a different pathology.

Choice C rationale: A urinary output of 2 mL/kg/hr is an ideal measure for indicating that fluid balance has been restored in infants.

Choice D rationale: An output of 7.5 mL/kg/hr is unusually high and not typical for a corrected fluid balance in infants.

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A nurse is teaching about neural tube defects to a group of females who are pregnant. Which of the following disease processes should the nurse include as an example of a neural tube defect?

Nursing Test Bank

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Explanation

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Correct Answer is C

Explanation

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A nurse is teaching about neural tube defects to a group of females who are pregnant.

Which of the following disease processes should the nurse include as an example of a neural tube defect?