One of the greatest mediators of risks to an infant with a myelomeningocele is:
Respiratory depression.
Decreased cardiac output.
Infection.
Neurological damage.
The Correct Answer is C
Choice A rationale
Respiratory depression is less common in myelomeningocele unless secondary to severe neurological anomalies. It is not the primary risk mediator in this congenital condition.
Choice B rationale
Decreased cardiac output is not directly associated with myelomeningocele. This condition primarily affects the spinal cord and surrounding tissues rather than cardiovascular function.
Choice C rationale
Infection risk is high due to exposed neural tissue, making it the most significant concern. Infection can lead to meningitis, sepsis, and neurological deterioration if not properly managed.
Choice D rationale
Neurological damage is inherent to myelomeningocele but does not act as an external risk mediator. The focus is on preventing additional risks like infections to improve outcomes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["5"]
Explanation
Step 1 is (1000 mcg ÷ 200 mcg/tablet) = 5 tablets. The nurse should administer 5 tablets.
Correct Answer is D
Explanation
Choice A rationale
Infection of the uterus typically presents with fever, foul-smelling lochia, and uterine tenderness, not bright red vaginal bleeding with a firm fundus. Firm fundus decreases the likelihood of retained products causing infection.
Choice B rationale
Uterine atony causes excessive vaginal bleeding due to the uterus's inability to contract effectively, but it doesn't apply here since the fundus is firm, indicating adequate uterine tone.
Choice C rationale
Perineal hematoma results from blood vessel damage during delivery. It causes a tense, painful mass and vaginal or perineal swelling, not steady, bright red bleeding with a firm fundus.
Choice D rationale
Lacerations of the genital tract result in bright red bleeding despite a firm fundus, as the bleeding originates from tears in the vaginal or perineal tissues rather than uterine atony.
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