The nurse is conducting a staff in-service on common problems ...

[Alygatorr01285]

The nurse is conducting a staff in-service on common problems associated with myelomeningocele. Which common problem is associated with this defect?
 
  a. Hydrocephalus
  b. Craniosynostosis
  c. Biliary atresia
  d. Esophageal atresia

Question 2

The nurse is reviewing prenatal vitamin supplements with an expectant client. Which supplement should be included in the teaching?
 
  a. Vitamin A throughout pregnancy
  b. Multivitamin preparations as soon as pregnancy is suspected
  c. Folic acid for all women of childbearing age
  d. Folic acid during the first and second trimesters of pregnancy

[asware1]

Answer to Question 1

ANS: A
Hydrocephalus is a frequently associated anomaly in 80 to 90 of children. Craniosynostosis is the premature closing of the cranial sutures and is not associated with myelomeningocele. Biliary and esophageal atresia is not associated with myelomeningocele.

Answer to Question 2

ANS: C
The widespread use of folic acid among women of childbearing age has decreased the incidence of spina bifida significantly. Vitamin A is not related to the prevention of spina bifida. Folic acid supplementation is recommended for the preconception period and during the pregnancy. Only 42 of women actually follow these guidelines.