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Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Newborn with a Perinatal Injury or Congenital Malformation,100% CORRECT$17.99
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Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Newborn with a Perinatal Injury or Congenital Malformation,100% CORRECT
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Course
MATERNITY 101
Institution
MATERNITY 101
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Newborn with a Perinatal Injury or Congenital Malformation
MULTIPLE CHOICE
1. What occurrence results from obstruction within the ventricles of the brain or inadequate reabsorption of cerebrospinal fluid?
a. Meningi...
test bank introduction to maternity and pediatric nursing 8e by leifer the newborn with a perinatal injury or congenital malformation
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INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 125
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by
Leifer) The Newborn with a Perinatal Injury or CongenitalMalformation
MULTIPLE CHOICE
1. What occurrence results from obstruction within the ventricles of the brain or
inadequate reabsorption of cerebrospinal fluid?
a. Meningitis
b. Meningocele
c. Spina bifida occulta
d. Hydrocephalus
ANS: D
Hydrocephalus is characterized by an increase in cerebrospinal fluid in the
ventricles of the brain.
2. The nurse is caring for an infant with hydrocephalus. What nursing action is
most important for this nurse to implement?
a. Align the limbs.
b. Support the head.
c. Keep the head lower than the hip.
d. Check intake and output.
ANS: B
The child with hydrocephalus has a heavy head on a small body with poor muscle
tone; the head must be supported when feeding and moving the
childNtoUpRrSeIvNeGntTiBn.jCurOyMto the neck.
DIF: Cognitive Level: Application REF: Page 331
TOP: Hydrocephalus KEY: Nursing Process Step:
Data Collection MSC: NCLEX: Physiological
Integrity: Reduction of Risk
3. The nurse observes that the infants anterior fontanelle is bulging after
placement of a ventriculoperitoneal shunt. How should the nurse position this
infant?
a. Prone, with the head of the bed elevated
b. Supine, with the head flat
c. Side-lying on the operative side
d. In a semi-Fowlers position
ANS: D
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 126
If the fontanelles are bulging, the child will be positioned in a semi-Fowlers
position to promote drainage from the ventricles through the shunt.
DIF: Cognitive Level: Application
REF: Page 331 OBJ: 4 TOP:
Hydrocephalus
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
4. What nursing action will the nurse implement after feeding an infant with
hydrocephalus?
a. Position the infant sitting upright in an infant seat.
b. Place the infant over the shoulder to burp.
c. Leave the infant in a side-lying position.
d. Stimulate the infant by rubbing its feet.
ANS: C
Because children with hydrocephalus are prone to vomiting, the child is fed and
then positioned in the side-
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 127
lying position in a quiet atmosphere to reduce the incidence of vomiting.
DIF: Cognitive Level: Application REF: Page 331
TOP: Feeding a Hydrocephalic Child KEY: Nursing Process
Step: Implementation MSC: NCLEX: Physiological Integrity:
Basic Care and Comfort
5. A newborn was just admitted to the neonatal intensive care unit with a
meningomyelocele. What is the priority preoperative nursing care of this
newborn?
a. Keep the sac dry.
b. Diaper snugly.
c. Position prone in an incubator.
d. Move from side to side every hour.
ANS: C
The infant is placed prone in a humidified incubator, and the sac is covered with
dressings of sterile saline. The infants hips are kept lower than the lesion, and the
infant is usually not in diapers.
DIF: Cognitive Level: Analysis REF: Page 333
TOP: Myelodysplasia and Spina Bifida KEY: Nursing
Process Step: Planning MSC: NCLEX: Physiological
Integrity: Reduction of Risk
6. The nurse is caring for a child who has had a ventriculoperitoneal shunt
(VP) for hydrocephalus and observes an increasing abdominal girth. What
is the most appropriate response?
a. Elevate the childs head.
b. Check bowel sounds.
c. Record retention of feeding.
d. Notify the charge nurse of possible malabsorption.
ANS: D
An increasing abdominal girth in a child with Na UVRPSsIhNuGnTt Bm.CayObMe indicative of
malabsorption of the cerebrospinal fluid (CSF) that is being shunted to the
peritoneum.
DIF: Cognitive Level: Application REF: Page 331
OBJ: 6 TOP: VP Shunt KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
7. The nurse is providing education to parents of a child with cleft palate. What
will the nurse instruct the parents to report immediately?
a. Facial paralysis
b. Ear infections
NURSINGTB.COM
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