Meningitis, Neural T defects, Down Syndrome 220 review
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| The nervous system is not _____ at birth | mature
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| Development is in a cephalocaudal or____________ direction | "head to tail"
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| What is a neural tube defect that occurs any location along the spinal canal, saclike herniation includes meniges, CSF, spinal cord, and nerve roots? | Myelomeningocele
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| What is used to Dignose Myelomeningocele? | Alfafetaprotein, pernatal ultrasound
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| What do you monitor for with Myelomenigocele in the postnatal period? | spinal fluid leakage from sac, infection, protect sac, position on side or abdomen, Keep sac moist with sterile saline dressings, diapering assess sensation at or below lesion, measure head circumference, assess bowel and bladder function
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| Which position should you place a child with myelomeningocele in? | side or abdomen, protect sac
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| What are the post-operative care interventions for myelomeningocele? | monitor bowel and bladder function, head circumference, physical therapy, antibotics
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| How do you diagnose Meningitis? | lumbar puncture
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| What is Meningitis? | inflammation of the meninges, viral and bacterial
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| What are the manisfesations of viral meningitis? | irritability, lethargy, vomiting, changes in appetite, fever, headache, photophobia, nuchal rigidity
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| What are the s/s of bacterial Meningitis? | poor feeding, vomiting, high pitched cry, bulging fontanel, fever or hypothermia, poor muscle tone, nuchal rigidity, photophobia, positive Kernig or Brudziski's, opisthotonus
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| What is opisthotonus? | Spasm of the body where the head and heels are bent backward and the body is bowed forward. A type of extrapyramidal effect.
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| What is the clinical thearapy for Meningitis? | monitor resp. status, admin oxygen, minimize ICP elevation, elevate Head 15-30 degrees, avoid neck extension or flexion, maintain head in neutral position, keep enviroment quiet, handle child in gentle manner. pain management, monit seizures
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| Which meningitis needs to be isolated? | bacterial meningitis
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| sac like proturustion filled with spinal fluid and meninges | meninogocele
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| sac filled with spinal fluid, meninges, nerve roots, and spinal cord | myelomeningocele
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| failure of the vertebrae to fuse | spina bifida occulta
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| Because approx half of all pregs. in the US are unplanned adolecents and women of childbearing age need | folic acid
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