Author Question: A baseball player was hit in the head with a bat during practice. In the emergency department, the ... (Read 49 times)

cool · **on:** Jun 25, 2018

A baseball player was hit in the head with a bat during practice. In the emergency department, the physician tells the family that he has a coup injury.

How will the nurse explain this to the family so they can understand?
A)
It's like squeezing an orange so tight that the juice runs out of the top.
B)
Your son has a huge laceration inside his brain where the bat hit his skull.
C)
Your son has a contusion of the brain at the site where the bat hit his head.
D)
When the bat hit his head, his neck jerked backward causing injury to the spine.

Question 2

A male newborn infant has been diagnosed with spina bifida occulta. Which of the following pathophysiological processes has most likely contributed to the infant's health problem?

A)
The neural groove failed to fuse and completely close across the top of the neural plate.
B)
The infant's spinal cord and meninges protrude through his skin.
C)
The child's central and peripheral nervous systems have insufficiently differentiated during embryonic development.
D)
The infant's soma and viscera are underdeveloped.

Cnarkel · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
C

Feedback:

A direct contusion of the brain at the site of external force is referred to as a coup injury. Contrecoup injury (answer choice D) is the rebound injury on the opposite side of the brain. Answer choice B relates to lacerations that are usually not caused by a direct blow to the head. However, depending on how hard the head was hit with a bat, a hematoma could form as the brain strikes the rough surface of the cranial vault.

Answer to Question 2

Ans:
A

Feedback:

Spina bifida occulta is characterized by incomplete closure of the axial groove around the ectodermal tube (neural tube). Protrusion of the spinal cord and meninges through the skin is associated with meningomyelocele. Insufficient development of the CNS, PNS, soma, or viscera is not considered a central characteristic of spina bifida occulta.