A 6-year-old child is admitted for revision of a ...

[meagbuch]

A 6-year-old child is admitted for revision of a ventriculoperitonea l shunt for noncommunicating hydrocephalus. What sign or symptom does the child have that indicates a revision is necessary
 
  a. Tachycardia
  b. Gastrointestinal upset
  c. Hypotension
  d. Alteration in level of consciousness

Question 2

A pregnant woman asks about prenatal diagnosis of hydrocephalus. The nurse's response should be based on which knowledge?
 
  a. It can be diagnosed only after birth.
  b. It can be diagnosed by chromosome studies.
  c. It can be diagnosed with fetal ultrasonography.
  d. It can be diagnosed by measuring the lecithin-to-sphingomyelin ratio.

[voltaire123]

Answer to Question 1

ANS: D
In older children, who are usually admitted to the hospital for elective or emergency shunt revision, the most valuable indicators of increasing intracranial pressure are an alteration in the child's level of consciousness, complaint of headache, and changes in interaction with the environment.

Answer to Question 2

ANS: C
Hydrocephalus can be diagnosed by fetal ultrasonography as early as 14 weeks of gestation. Most incidents of hydrocephalus are not chromosomal in origin. The lecithin-to-sphingomyelin ratio can be used to determine fetal lung maturity.

[meagbuch]

Thank you

[voltaire123]

Happy to help you