Exam 14: The Newborn with a Perinatal Injury or Congenital Malformation

The nurse is obtaining intake information on a new patient being seen for preconception care and notes a family history of neural tube defects.What interventions can the nurse suggest to this woman to help prevent neural tube anomalies in a developing fetus?

Which statement indicates that parents understand how to feed their infant who had a surgical repair for a cleft lip?

A newborn was just admitted to the neonatal intensive care unit with a meningomyelocele.What is the priority preoperative nursing care of this newborn?

What would the nurse include when instructing parents about positioning their toddler who has just had a body spica cast applied?

What will the nurse include in the plan of care when caring for an infant with an intracranial hemorrhage?

When the CSF is obstructed in the subarachnoid space rather than in the ventricles,the resulting hydrocephalus is diagnosed as ____________________ hydrocephalus.

The nurse is caring for a macrosomic newborn of a woman diagnosed with gestational diabetes immediately after birth.What assessment findings can the nurse anticipate?

Parents of a 2-month-old infant with Down syndrome are attending a well visit at the pediatric clinic.What should they be instructed to provide special attention to in regard to the generalized hypotonicity of the child?

The nurse demonstrates how to flush the ventriculoperitoneal shunt by the use of the ____________________ that is in place behind the infant's ear.

After delivery,a mother asks the nurse about newborn screening tests.The nurse explains that what is the optimal time for testing for phenylketonuria?

Parents of a newborn with a unilateral cleft lip are concerned about having the defect repaired.The nurse explains that a child with a cleft lip usually undergoes surgical repair at which time?

What nursing action will the nurse implement after feeding an infant with hydrocephalus?

The nurse is providing education to parents of a child with cleft palate.What will the nurse instruct the parents to report immediately?

The nurse is advising parents about feeding their infant with phenylketonuria.What formula and/or diet should the nurse suggest?

What manifestations of increasing ICP in the hydrocephalic child should the nurse be aware of?

The nurse observes that the infant's anterior fontanelle is bulging after placement of a ventriculoperitoneal shunt.How should the nurse position this infant?