Author Question: Care for an infant with osteogenesis imperfecta should include: 1. Support of the trunk and ... (Read 75 times)

Cooldude101

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Care for an infant with osteogenesis imperfecta should include:
 
  1. Support of the trunk and extremities when moving.
  2. Traction care.
  3. Cast care.
  4. Postop spinal surgery care.

Question 2

A collection of blood between the skull bone and its periosteum is known as a cephalhematoma. To reassure the new parents whose infant develops such a soft bulge, it is important that the nurse be aware that this condition:
 
  a. May occur with spontaneous vaginal birth.
  b. Only happens as the result of a forceps or vacuum delivery.
  c. Is present immediately after birth.
  d. Will gradually absorb over the first few months of life.



tuwy

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Answer to Question 1

1
Rationale:
1. In osteogenesis imperfecta, nursing care focuses on preventing fractures. Because the bones are fragile, the entire body must be supported when the child is moved.
2. Traction is not routinely done for osteogenesis imperfecta.
3. Casts are not routinely done for osteogenesis imperfecta.
4. Spinal surgery is not routinely done for osteogenesis imperfecta.

Answer to Question 2

A

Feedback
A Bleeding may occur during a spontaneous vaginal delivery as a result of the pressure against the maternal bony pelvis. The soft, irreducible fullness does not pulsate or bulge when the infant cries.
B Low forceps and other difficult extractions may result in bleeding. However, these can also occur spontaneously.
C The swelling may appear unilaterally or bilaterally and is usually minimal or absent at birth. It increases over the first 2 to 3 days of life.
D Cephalhematomas disappear gradually over 2 to 3 weeks. A less common condition results in calcification of the hematoma, which may persist for months.



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