The nurse understands that in the preoperative period the infant with a myelomeningocele must be placed in which of the following positions?

Prone and in full Trendelenburg

Supine with head slightly elevated

Side-lying with head slightly elevated

Prone with hips flexed and legs abducted

Answer and Explanation

The Correct Answer is D

A. Prone and in full Trendelenburg position is not appropriate as it could increase intracranial pressure and compromise breathing.
B. Supine with head slightly elevated is not suitable because it can put pressure on the myelomeningocele sac.
C. Side-lying with head slightly elevated is also not ideal as it can lead to pressure on the sac.
D. Prone with hips flexed and legs abducted is the best position to avoid pressure on the myelomeningocele sac, prevent trauma, and reduce the risk of infection before surgical repair.

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Correct Answer is C

Explanation

A. Sleeping 8 to 10 hours a night is within the normal range for a school-aged child.
B. A resting heart rate of 90 beats per minute is within the normal range for a child.
C. A blood pressure reading of 140/90 is concerning as it indicates hypertension, which can be a side effect of stimulant medications like dexamethylphenidate.
D. A weight gain of 2 kgs is not immediately concerning in a growing child, though weight should be monitored.

A. Avoiding further palpation of the abdomen B. Obtaining an accurate height and weight C. Monitoring vital signs D. Assessing the urine for the presence of blood

Correct Answer is A

Explanation

A. Avoiding further palpation of the abdomen is crucial to prevent rupture of the tumor and potential spread of cancer cells.
B. Obtaining an accurate height and weight is important but not as critical as preventing tumor rupture.
C. Monitoring vital signs is essential but not the priority intervention in this context.
D. Assessing the urine for the presence of blood is important for overall assessment but not the most critical intervention compared to avoiding tumor rupture.

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The nurse understands that in the preoperative period the infant with a myelomeningocele must be placed in which of the following positions?

Nursing Test Bank

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