Question

Unit 2 Challenges in Sexuality                         Due Date: ______________________________
Directions: Select the correct answer to the following questions and provide a rationale for your selections in the spaces provided. Each question is worth 10 points for a total of 100 points. Print and bring to class at the due date and time.

1. A sign that should make the nurse suspect hydrocephalus in the newborn is:
a. inability to sleep between feedings
b. a patch of hair on the lower back
c. axillary temperature of 100 degrees F.
d. an enlarged fontanelle or cranial sutures

2. Expected treatment for hydrocephalus is:
a. placement of a shunt
b. incision and draining
c. oral liquid diuretics
d. intravenous analgesics

3. Before surgical repair, the usual position of a newborn with a meningomyelocele is:
a. side-lying with the head slightly below the level of the heart
b. prone, maintaining abduction with a pad between the legs
c. supine with the drib flat to stabilize blood pressure
d. supine with the legs widely abducted and thighs flexed

4. Select the nursing measure appropriate for a 2-week-old newborn who has a new cleft lip repair.
a. position on the abdomen or side
b. place in a car seat after each feeding
c. provide a premature sized pacifier
d. limit visitors to immediate family

5. Appropriate care relate to a new plaster cast for correction of clubfoot in the newborn is to:
a. keep the newborn snugly wrapped until the cast is dry to prevent hypothermia
b. sprinkle powder into the dry cast to reduce skin irritation at the edges of the cast
c. position with the feet lower than the level of the heart until the cast is dry
d. observe the toes for pallor, cyanosis, reduced capillary refill or cold temperature

6. The nurse is checking range of motion on the newborn. The sign which suggests developmental hip dysplasia is:
a. reduced thigh abduction
b. full abduction and adduction
c. equal gluteal creases in the back
d. limited flexion of one knee

7. A 2-week-old newborn will be fitted with a Pavlik harness as treatment for developmental hip dysplasia. The mother asks the nurse about the harness and how it will help her baby. To reinforce the health are provider explanation, the nurse should teach the mother that:
a. keeping the hip bone within the hip socket helps the socket become deeper
b. the infant cannot have surgery for the condition until he is at least 8 weeks old
c. the longer leg gradually becomes shorter to equalize the leg lengths before walking
d. time spent in a cast is reduced if the baby is treated with a harness for a few weeks

8. The newborn with Down syndrome is at increased risk for developing:
a. urinary tract infections
b. respiratory infections
c. kidney infections
d. meningitis

9. The mother of a 2-week-old newborn who is going to have cleft lip repair asks if she will be able to hold her baby after surgery. The nurse should reply:
a. “The baby can be held when she no longer needs the restraints.”
b. “The baby cannot be held but you can talk to her and stroke her.”
c. “Holding your baby helps keep her content.”
d. “You should hold your baby only during feedings.”

10. Appropriate nursing interventions for parents immediately after the birth of a baby who has characteristics typical of Down syndrome should include:
a. reassuring them that future babies are unlikely to have this problem
b. keeping the newborn in the nursery until a definitive diagnosis is made
c. spending time with them so they can best verbalize their concerns
d. teaching them about lifelong nutritional care the baby will need

Answer 1

Ans 1. The correct answer is D an enlarged fontanelle or cranial suture.

A full or bulging fontanel (soft spot located on the top of the head) Increasing head circumference (size) Seizures.

Bulging eyes and an inability of the baby to look upward with the head facing forward. Prominent scalp veins. But the main symptoms is bulging of fontanelle or cranial sutures.

Ans 2. The correct answer is A  . placement of shunt

The most common treatment for hydrocephalus is the surgical insertion of a drainage system, called a shunt. It consists of a long, flexible tube with a valve that keeps fluid from the brain flowing in the right direction and at the proper rate.

Ans 3. The correct answer is B. Prone , maintaining abduction with a pad between the heart.

The usual position for baby with myelomeningocele is prone, maintaining abduction with a pad between a legs. This reduces the pressure on back of the baby and provide comfort zone.

Ans 4. Thecorrect answer is C. Provide a premature sized pacifier.

the appropriate measure for the baby has new cleft lip repair,. To provide a premature sized pacifier that enhance the comfort for the baby .

Ans 5. The corect answer is D. Observe he toes for pallor , cyanosis, reduced capillary refill or cold temperature.

observation of the toes with capillary refill time, pallor and cyanosis symptoms that to give appropriate care to the baby with surgery.

Ans 6. The correct anwer is B. Full abduction and adduction.

Common symptoms of developmental dysplasia of the hip (DDH) may include: The leg on the side of the dislocated hip may appear shorter. The leg on the side of the dislocated hip may turn outward. The folds in the skin of the thigh or buttocks may appear uneven. This means full adduction and abduction.

Ans 7. The correct answer is A. Keeping the hip bone within the hip socket helps the socket become deeper.

By holding your baby's legs out and bent, the Pavlik harness helps keep the femoral heads in their sockets. It allows the ligaments to tighten. It encourages normal development of the acetabulum.

Ans 8. The cprrect answer is B. Respiration infections.

Down syndrome is the most common whole chromosomal aberration managed in otherwise healthy neonates. It has been extensively documented that DS children have an increased incidence of respiratory tract infections compared with non-DS children.

Ans 9. The correct answer is C. Holding your baby helps kerp her content.

The nurse reply to mother that hold her baby to keep her content. Because may induce the mother and baby relationship and help the mother and baby to feel good and adequately. The mother concern towards her baby is decreased if once meet after surgery.

Ans 10. The correct answer is A. Ressing them that future babies are unlikely to have this problem.

The parents should aware about their future pregnancy may not affect with this kind of disorder and have to be concerned about their future babies.