Unit 11 NR328 Nursing Care Spina Bifida Actual Questions and Correct
Answers
Q1
Which systems are affected by myelomeningocele? Select all that apply
Answer: GastrointestinalCentral nervous system MusculoskeletalGenitourinary
Q2
Which items are used to confirm the diagnosis and effects of spina bifida associated with
myelomeningocele? Select all that apply
Answer: Visualization of meningeal sac at birth Neurological examinationDetection of
alpha-fetoprotein during
pregnancy
Q3
Match the type of spina bifida with the defect presentation at birth
Answer: Myelomeningocele - A sac protrusion containing meninges, spinal fluid, and
nervesMeningocele - A sac
protrusion containing meninges and spinal fluidSpina bifida occulta - No visible defect
Q4
The nurse is preparing to admit a pediatric client with spina bifida to an acute care pediatric unit. The
nurse should ensure a latex-free environment because children with spina bifida have a(n) The
clientrequires intermittent catheterization, so the nurse should have ---catheters avaliable
Answer: increased risk for latex allergy, silicone
Q5
Review the nurse's note. For eachassessment finding, indicate whether it supports the nursing
diagnosis of ineffective coping or deficientknowledge. Each assessment finding may support more than
one nursing diagnosis
Answer: Ineffective coping -Does not know where to find information Feels
exhaustedTearfulDeficient
knowledge - Does not know where to find information, Unsure about care
Q6
Review the nurse's note. For each
Answer: Ineffective coping
Answers
Q1
Which systems are affected by myelomeningocele? Select all that apply
Answer: GastrointestinalCentral nervous system MusculoskeletalGenitourinary
Q2
Which items are used to confirm the diagnosis and effects of spina bifida associated with
myelomeningocele? Select all that apply
Answer: Visualization of meningeal sac at birth Neurological examinationDetection of
alpha-fetoprotein during
pregnancy
Q3
Match the type of spina bifida with the defect presentation at birth
Answer: Myelomeningocele - A sac protrusion containing meninges, spinal fluid, and
nervesMeningocele - A sac
protrusion containing meninges and spinal fluidSpina bifida occulta - No visible defect
Q4
The nurse is preparing to admit a pediatric client with spina bifida to an acute care pediatric unit. The
nurse should ensure a latex-free environment because children with spina bifida have a(n) The
clientrequires intermittent catheterization, so the nurse should have ---catheters avaliable
Answer: increased risk for latex allergy, silicone
Q5
Review the nurse's note. For eachassessment finding, indicate whether it supports the nursing
diagnosis of ineffective coping or deficientknowledge. Each assessment finding may support more than
one nursing diagnosis
Answer: Ineffective coping -Does not know where to find information Feels
exhaustedTearfulDeficient
knowledge - Does not know where to find information, Unsure about care
Q6
Review the nurse's note. For each
Answer: Ineffective coping
