Author Question: A fetus has been diagnosed with myelomeningocele. Which of the following surgeries would be ... (Read 47 times)

cagreen833 · **on:** Jun 27, 2018

A fetus has been diagnosed with myelomeningocele. Which of the following surgeries would be performed to correct this condition?

1. Tubal ligation
2. Intrauterine fetal surgery
3. Cesarean section
4. Sterilization

Question 2

The nurse is completing an assessment for a prenatal visit. Which statement indicates that further teaching is necessary?

1. Because I'm in my third trimester, I should return to the clinic in a month.
2. Now that I've felt fetal movement, I should feel movement regularly.
3. Before I take any over-the-counter medications, I should contact my doctor.
4. Alcohol is possibly harmful to my baby, even at the end of my pregnancy.

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

Answer to Question 1

2
Explanation: 2. Intrauterine fetal surgery, which is generally considered experimental, is a therapy for anatomic lesions that can be corrected surgically and are incompatible with life if not treated. Examples include surgery for myelomeningocele and some congenital cardiac defects.

Answer to Question 2

1
Rationale 1: This statement is incorrect because prenatal visits during the third trimester are every 2 weeks from 26 to 36 weeks, and every week from 36 weeks to delivery.
Rationale 2: This is a true statement. Once fetal movement is perceived, it should be felt regularly. Initially, this might not be every day, but in the third trimester, fetal movement should be noticeable several times per day.
Rationale 3: This is a true statement. Regardless of the gestational age, over-the-counter medications can have deleterious effects on mom or baby; thus it is important for a pregnant woman to consult her provider prior to taking any over-the-counter medications throughout the pregnancy.
Rationale 4: This is a true statement. Alcohol should be avoided throughout pregnancy and lactation.