Nursing care of the infant who has had a myelomeningocele repair ...

[WWatsford]

Nursing care of the infant who has had a myelomeningocele repair should include which intervention?
 
  a. Securely fastening the diaper
  b. Measurement of pupil size
  c. Measurement of head circumference
  d. Administration of seizure medications

Question 2

Which is helpful to tell a mother who is concerned about preventing sleep problems in her preschool child?
 
  a. Have the child always sleep in a quiet, dar-kened room.
  b. Provide high-carbohydrate snacks before bedtime.
  c. Communicate with the child's daytime caretaker to encourage a longer nap.
  d. Use a nightlight in the child's room.

[Expo]

Answer to Question 1

C
Head circumference measurement is essential because hydrocephalus can develop in these infants. A diaper should be placed under the infant but not fastened. Keeping the diaper open facilitates frequent cleaning and decreases the risk for skin breakdown. Pupil size measurement is usually not necessary. Head circumference measurement is essential because hydrocephalus can develop in these infants.

Answer to Question 2

D
The preschooler has a great imagination. Sounds and shadows can have a negative effect on sleeping behavior. Nightlights provide the child with the ability to visualize the environment and decrease the fear felt in a dark room. A dark, quiet room may be scary to a preschooler. High-carbohydrate snacks increase energy and do not promote relaxation. Taking a longer nap during the day will not cause the child to sleep longer at night. A child who has slept for a long time at the babysitter's may not be ready to sleep again.

[WWatsford]

Excellent

[bdobbins]

Gracias!