Author Question: An infant has just been born with a myelomeningocele. The infant has been admitted to the neonatal ... (Read 92 times)

V@ndy87 · **on:** Jun 27, 2018

An infant has just been born with a myelomeningocele. The infant has been admitted to the neonatal intensivecare unit. The nursing technician is preparing an open crib for this infant. The nurse should

1. ask the technician to include warmblankets in the crib.
2. stop the technician and ask her toprepare a warmer for this infant.
3. ask the technician to place the cribin a isolation room for infection control purposes.
4. ask the technician to place a hat andwarm gown for the infant in the crib.

Question 2

An important nursing intervention when caring for an infant with a myelomeningocele in the preoperative stage would be to

1. place infant supine to decreasepressure on the sac.
2. apply a heat lamp to facilitate dryingand toughening of the sac.
3. measure head circumference everyshift to identify developing hydrocephalus.
4. apply a diaper to preventcontaminatio n of the sac.

okolip · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

Answer:2
Rationale: An infant with myelomeningocele has a vertebral defect that can cause loss of body temperature and also difficulty in thermoregulation.It would not be appropriate to place the infant in a crib even if blankets are added,a hat and warm gown will not maintain a constant body temperature and there is not an indication for an isolation room.

Answer to Question 2

Answer:3
Rationale: The infant should be monitored for developing hydrocephalus,so the head circumference should be monitored daily. The infant will be placed prone,not supine,and the defect will be protected from trauma or infection. Therefore,applying heat and a diaper around the defect would not be recommended. A sterile saline dressing may be used to cover the sac to maintain integrity.