NR 328 Exam
Pediatric Nursing NR 328 Exam 1 PREDICTOR
VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS ALREADY GRADED A+.
100% Verified Solutions | Updated Per Latest
Guidelines | Graded A+
An infant who has undergone surgical correction of a myelomeningocele is to be discharged.
What information should the nurse include when preparing the parents to care for their infant
at home?
1
The need to limit the infant's fluid intake to formula
2
The need to provide a quiet environment to limit external stimuli
A+ TEST BANK 1
, NR 328 Exam
3
The positions to be avoided to help prevent the infant from turning
4
How to perform range-of-motion exercises for the lower extremities –
Correct Answer :4
Passive range of motion, positioning, and stretching may help decrease the risk of muscle
contractures in the lower extremities. Fluid intake should be unrestricted to provide adequate
kidney function and prevent constipation. The infant needs stimulation to develop mentally
and socially. Development of mobility should be encouraged; the infant's movements should
not be restricted.
The parents of an infant who has undergone surgical repair of a myelomeningocele express
concern about skin care and ask what they can do to prevent problems. What should the
nurse teach the parents about their infant's skin care?
1
Will require long-term multidisciplinary follow-up care
2
Should take prophylactic antibiotic therapy indefinitely
3
Must be kept dry by applying powder after each diaper change
4
Does not need anything more than routine cleansing and diaper changes –
Correct Answer :1
These infants need follow-up care with a variety of healthcare providers (e.g., neurologist,
physical therapist) to manage the child's condition during growth and development. Taking
prophylactic antibiotic therapy indefinitely is unnecessary. Powder should be avoided; it will
create a pastelike substance when mixed with urine, and when aerosolized it is a respiratory
A+ TEST BANK 2
, NR 328 Exam
irritant. These children require more frequent perineal care than just routine cleansing and
diaper changes.
The parents of an infant born with a myelomeningocele are confused about what the primary
healthcare provider has told them about the condition. What should the nurse consider
before answering the parents' questions in language that they will understand?
1
It is a fusion failure of the vertebral arches without herniation of cord or meninges.
2
There is a defect in the base of the skull through which the brain and meninges have
herniated.
3
A membrane-covered sac of meninges, filled with spinal fluid, is protruding through a defect
in the spine.
4
A saclike cyst of meninges, containing a portion of spinal cord and fluid, is protruding through
a defect in the spine. –
Correct Answer :4
Myelomeningocele is a neural tube defect in which the meninges and spinal nerves protrude
through the opening in the spinal column. Nerve damage may occur at or below the level of
the defect. A fusion failure of the vertebral arches without herniation of cord or meninges is
spina bifida occulta; there is no break in the skin or protrusion of any structure. A defect in the
base of the skull through which the brain and meninges have herniated is an encephalocele;
the spinal cord is not involved. A membrane-covered sac of meninges, filled with spinal fluid
and protruding through a defect in the spine, is a meningocele; usually there is no nerve
damage, although affected individuals may have minor disabilities.
A+ TEST BANK 3
, NR 328 Exam
The mother of an 18-month-old child with a cleft palate asks the nurse why the pediatrician
has recommended that closure of the palate be performed before the child is 2 years old.
How should the nurse respond?
1
"As the child gets older, the palate gets wider and more difficult to repair."
2
"Eruption of the 2-year molars often complicates the surgical procedure."
3
"You need to have the surgery performed before your child starts to use faulty speech
patterns."
4
"After a child is 2 years old, surgery is frightening, so you need to avoid it if at all possible." –
Correct Answer :3
At 18 months of age a child born with a cleft lip and palate is readmitted for palate surgery.
Why does the nurse teach the parents not to brush their child's teeth immediately after the
surgery?
1
The suture line might be injured.
2
A toothbrush might be frightening.
3
The child will probably have no teeth.
4
A toothbrush has not been used before –
A+ TEST BANK 4
Pediatric Nursing NR 328 Exam 1 PREDICTOR
VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS ALREADY GRADED A+.
100% Verified Solutions | Updated Per Latest
Guidelines | Graded A+
An infant who has undergone surgical correction of a myelomeningocele is to be discharged.
What information should the nurse include when preparing the parents to care for their infant
at home?
1
The need to limit the infant's fluid intake to formula
2
The need to provide a quiet environment to limit external stimuli
A+ TEST BANK 1
, NR 328 Exam
3
The positions to be avoided to help prevent the infant from turning
4
How to perform range-of-motion exercises for the lower extremities –
Correct Answer :4
Passive range of motion, positioning, and stretching may help decrease the risk of muscle
contractures in the lower extremities. Fluid intake should be unrestricted to provide adequate
kidney function and prevent constipation. The infant needs stimulation to develop mentally
and socially. Development of mobility should be encouraged; the infant's movements should
not be restricted.
The parents of an infant who has undergone surgical repair of a myelomeningocele express
concern about skin care and ask what they can do to prevent problems. What should the
nurse teach the parents about their infant's skin care?
1
Will require long-term multidisciplinary follow-up care
2
Should take prophylactic antibiotic therapy indefinitely
3
Must be kept dry by applying powder after each diaper change
4
Does not need anything more than routine cleansing and diaper changes –
Correct Answer :1
These infants need follow-up care with a variety of healthcare providers (e.g., neurologist,
physical therapist) to manage the child's condition during growth and development. Taking
prophylactic antibiotic therapy indefinitely is unnecessary. Powder should be avoided; it will
create a pastelike substance when mixed with urine, and when aerosolized it is a respiratory
A+ TEST BANK 2
, NR 328 Exam
irritant. These children require more frequent perineal care than just routine cleansing and
diaper changes.
The parents of an infant born with a myelomeningocele are confused about what the primary
healthcare provider has told them about the condition. What should the nurse consider
before answering the parents' questions in language that they will understand?
1
It is a fusion failure of the vertebral arches without herniation of cord or meninges.
2
There is a defect in the base of the skull through which the brain and meninges have
herniated.
3
A membrane-covered sac of meninges, filled with spinal fluid, is protruding through a defect
in the spine.
4
A saclike cyst of meninges, containing a portion of spinal cord and fluid, is protruding through
a defect in the spine. –
Correct Answer :4
Myelomeningocele is a neural tube defect in which the meninges and spinal nerves protrude
through the opening in the spinal column. Nerve damage may occur at or below the level of
the defect. A fusion failure of the vertebral arches without herniation of cord or meninges is
spina bifida occulta; there is no break in the skin or protrusion of any structure. A defect in the
base of the skull through which the brain and meninges have herniated is an encephalocele;
the spinal cord is not involved. A membrane-covered sac of meninges, filled with spinal fluid
and protruding through a defect in the spine, is a meningocele; usually there is no nerve
damage, although affected individuals may have minor disabilities.
A+ TEST BANK 3
, NR 328 Exam
The mother of an 18-month-old child with a cleft palate asks the nurse why the pediatrician
has recommended that closure of the palate be performed before the child is 2 years old.
How should the nurse respond?
1
"As the child gets older, the palate gets wider and more difficult to repair."
2
"Eruption of the 2-year molars often complicates the surgical procedure."
3
"You need to have the surgery performed before your child starts to use faulty speech
patterns."
4
"After a child is 2 years old, surgery is frightening, so you need to avoid it if at all possible." –
Correct Answer :3
At 18 months of age a child born with a cleft lip and palate is readmitted for palate surgery.
Why does the nurse teach the parents not to brush their child's teeth immediately after the
surgery?
1
The suture line might be injured.
2
A toothbrush might be frightening.
3
The child will probably have no teeth.
4
A toothbrush has not been used before –
A+ TEST BANK 4
