Nur 315 paediatrics and maternity proctored exam
Which of the following are important parts of the nursing care plan for an infant with myelomeningocele?
Explanation & Rationale
Rationale: A. Infants with myelomeningocele are at risk for hydrocephalus, so daily head circumference is essential to monitor for increased intracranial pressure. Monitoring intake and output is important due to the risk of neurogenic bladder, and assessing parent-infant bonding supports emotional development and attachment. B. Saline gavage and chest physiotherapy are not typical interventions unless respiratory issues are present. C. While urinary catheterization might be needed, the Glasgow Coma Scale is not routinely used for infants unless there's a neurologic crisis. D. Contact isolation is not standard unless there’s an infection. Renal checks are important but not complete enough without other key care plan components.
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