1.

A nurse is performing an admission assessment on a newborn infant with a diagnosis of spina bifida
(meningomyelocele). The nurse assesses for a major symptom associated with this type of spina bifida
when the nurse:
a. checks the capillary refill of the nailbeds of the upper extremities
b. tests the urine for blood
c. palpates the abdomen for masses
d. checks for responses to painful stimuli from the torso downward

2. A nurse is caring for a newborn infant with spina bifida (meningomyelocele) who is scheduled for
surgical closure of the sac. In the preoperative period, the priority the nursing action would be to monitor
the;
a. blood pressure
b. moisture of the normal saline dressing covering the sac
c. specific gravity of the urine
d. anterior fontanel for depression

3. A nurse is caring for a child recently diagnosed with cerebral palsy. The parents of the child ask the
nurse about the disorder. The nurse bases her response on the understanding that cerebral palsy is:
a. a chronic disability characterized by impaired muscle movement and posture
b. an infection disease of the central nervous system
c. an inflammation of the brain as a result of a vital illness
d. a congenital condition that results in moderate to severe retardations

4. A nurse is developing a plan of care for a child with cerebral palsy. The nurse includes interventions in
the plan of care, understanding that a primary goal is to:
a. eliminate the cause of the disorder
b. prevent the occurrence of emotional disturbances
c. maximize the child’s assets and minimize the limitations caused by the disorder
d. cure the disorder

5. Which of the following nursing diagnoses is most relevant in the first 12 hours of life for a neonate born
with a myelomeningocele?
a. risk for infection
c. colonic constipation
b. impaired physical mobility
d. delayed growth and development

6. Which of the following devices is more commonly used to facilitate abduction in infants with congenital
hip dysplasia/dislocation?
a. Milwaukee Brace
b. Dennis Brown shoe
c. Leg cast
d. Pavlik harness

7. Spina bifida, a congenital spinal cord injury, may be characterized by which of the following
descriptions?
a. it has little influence on the intellectual and perceptual abilities of the child
b. it’s a simple neurologic defect that is completely corrected surgically within 1 to 2 days after birth
c. it’s presence predisposes that many areas of the CNS may not develop or function adequately
d. it’s a complex neurologic disability that involves a collaborative health team effort for the entire first year
of life

8. Common deformities occurring in the child with spina bifida are related to the muscles of the lower
extremities that are active or inactive. These may include which of the following complications where the
heel is lower than the toe?
a. talipes equinos
b. talipes varus
c. talipes valgus
d. talipes calcaneous

9. You are administering factor VIII to a child with hemophilia. You should observe for which potential
complication during the infusion?
7
a. Fluid overload
b. Transfusion reaction
c. Emboli formation
d. Contracting AIDS

10. Ductus Venosus usually closes at:

a. One month
b. One year
c. Two months
d. Three months