Author Question: A child with a myelomeningocele corrected at birth is now 5 years old. What is a priority nursing ... (Read 59 times)

OSWALD · **on:** Jun 27, 2018

A child with a myelomeningocele corrected at birth is now 5 years old. What is a priority nursing diagnosis for a child with corrected spina bifida at this age?

1. Risk for infection
2. Risk for impaired tissue perfusioncranial
3. Risk for altered urinary elimination
4. Risk for altered comfort

Question 2

Factors that contribute to the development of abruption include which of the following? (Select all that apply.)

a. cigarette smoking d. crack cocaine use
b. advanced parity e. advanced maternal age
c. advanced paternal age f. use of antihistamines

juwms · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
Rationale:
1. Risk for infection is not a problem once surgery to close the defect has been performed.
2. Risk for impaired tissue perfusion is not a problem once surgery to close the defect has been performed.
3. A child with spina bifida will continue to have a risk for altered urinary elimination because the bowel and bladder sphincter controls are affected. Urinary retention is a problem, so bladder interventions are initiated early to prevent kidney damage.
4. Risk for altered comfort is not a problem once surgery to close the defect has been performed.

Answer to Question 2

B, D, E
Factors that contribute to the development of abruption include advanced maternal age, advanced parity, and crack cocaine use. Abruption also occurs more frequently in African American women than it does in Caucasian or Hispanic women. The most significant contributing factor, however, is maternal hypertension