Spina Bifida Occulta
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Questions and Answers

What is the most common congenital deformity of the foot?

  • Talipes Calcaneovalgus
  • Clubfoot
  • Talipes Equinovarus (correct)
  • Twisted foot
  • What is characterized by internal tibial torsion, plantarflexion, inversion, and adduction of the forefoot?

  • Clubfoot
  • Talipes Equinovarus (correct)
  • Scoliosis
  • Talipes Calcaneovalgus
  • What is the least common pattern of scoliosis?

  • Lumbar (correct)
  • Thoracic curve
  • Lumbar curve
  • Cervical curve
  • What is associated with abnormal posture, muscle spasm, tumors, inflammation, etc.?

    <p>Non-Structural scoliosis</p> Signup and view all the answers

    What is managed through serial casting, corrective surgery, or shoe correction?

    <p>Talipes Equinovarus</p> Signup and view all the answers

    What should be done frequently according to nursing interventions?

    <p>Change diapers</p> Signup and view all the answers

    What is assessed by checking the infant’s toes for coldness or cyanosis?

    <p>Circulation</p> Signup and view all the answers

    What is watched to turn pink to assess for good circulation?

    <p>Toenail bed</p> Signup and view all the answers

    What is the characteristic of Spina bifida occulta in the lumbosacral area?

    <p>The posterior vertebral arches fail to close.</p> Signup and view all the answers

    What is the common symptom of meningocoele in infants?

    <p>Bulging anterior fontanel</p> Signup and view all the answers

    What is the purpose of Kernig's Sign?

    <p>To assess for meningeal irritation</p> Signup and view all the answers

    How long does it take for the scabies life cycle to complete?

    <p>10-17 days</p> Signup and view all the answers

    What is the characteristic of Myelomeningocele?

    <p>Protrusion of meninges, CSF, nerve roots, and portion of spinal cord</p> Signup and view all the answers

    What is the result of a positive Brudzinski Sign?

    <p>Reflex flexion of the hip and knee</p> Signup and view all the answers

    What is the primary mode of transmission of scabies?

    <p>Through direct, prolonged skin-to-skin contact</p> Signup and view all the answers

    How long can a scabies mite live on the human body?

    <p>4-6 weeks</p> Signup and view all the answers

    What is the common symptom of meningocoele in adults?

    <p>Vomiting and diarrhea</p> Signup and view all the answers

    What is the characteristic of the sac in Myelomeningocele?

    <p>It is covered by a thin membrane that may rupture or leak</p> Signup and view all the answers

    What is NOT a treatment option for scabies?

    <p>Antibiotics</p> Signup and view all the answers

    What is a risk associated with using Lindane 1% to treat scabies in children?

    <p>Transcutaneous absorption leading to neurotoxicity</p> Signup and view all the answers

    What is the assessment of Spina bifida occulta based on?

    <p>Signs and symptoms that vary depending on age group</p> Signup and view all the answers

    How fast does the scabies mite travel on the skin surface?

    <p>1”/min</p> Signup and view all the answers

    What is NOT a characteristic of scabies mites?

    <p>They can jump from one person to another</p> Signup and view all the answers

    What does a negative skin scraping NOT rule out?

    <p>Scabies infestation</p> Signup and view all the answers

    What is the primary characteristic of Structural Scoliosis?

    <p>A lateral spine curve that cannot be fully corrected by lateral flexion</p> Signup and view all the answers

    What is the percentage of idiopathic cases of Structural Scoliosis?

    <p>65%</p> Signup and view all the answers

    What is the primary goal of nurses in providing care to children with Structural Scoliosis?

    <p>Providing emotional support and orientation to the family</p> Signup and view all the answers

    What is the benefit of introducing deep-breathing exercises and incentive spirometry to children before surgery?

    <p>To increase lung function postoperatively</p> Signup and view all the answers

    How can nurses help families establish a therapeutic environment for the care of an ill child?

    <p>By performing several interventions that promote comfort, safety, and continued growth and development</p> Signup and view all the answers

    What is the role of nurses in preparing children and families for an illness experience?

    <p>Providing emotional support and orientation to the family</p> Signup and view all the answers

    Why is it important for nurses to advocate for open parental visiting and overnight stay policies?

    <p>To reduce the emotional distress of the family</p> Signup and view all the answers

    What is the significance of the nursing role in caring for an ill child?

    <p>It goes beyond just providing information on what to expect throughout an illness</p> Signup and view all the answers

    What is the common outcome of the basic body changes that occur when a person is dying?

    <p>Death of all vital body systems</p> Signup and view all the answers

    What is a common indicator of poor oxygenation in a dying person?

    <p>Pale, cyanotic, mottled, and cool skin</p> Signup and view all the answers

    What happens to a dying person's sense of hearing?

    <p>They can only hear what is distinctly spoken</p> Signup and view all the answers

    What is a common behavioral indicator of pain in a dying person who is unable to talk?

    <p>Restlessness, tight muscles, and facial expressions</p> Signup and view all the answers

    What happens to a dying person's eyes?

    <p>They can only see what is near</p> Signup and view all the answers

    What happens to a dying person's sense of touch?

    <p>It is diminished, and response to pressure is last to leave</p> Signup and view all the answers

    What can happen to a dying person just before death?

    <p>They might rally</p> Signup and view all the answers

    What happens to a dying person's pupils?

    <p>They might react sluggishly or not at all to light</p> Signup and view all the answers

    Study Notes

    Spina Bifida

    • Posterior vertebral arches fail to close in the lumbosacral area
    • Spinal cord intact; not visible
    • Meninges not exposed on the skin surfaces

    Types of Spina Bifida

    • Spina bifida occulta: posterior vertebral arches fail to close in the lumbosacral area
    • Meningocoele: protrusion involves meninges and a sac-like structure
    • Myelomeningocele: protrusion of meninges, CSF, nerve roots, and portion of spinal cord

    Assessment

    • Signs and symptoms vary depending on age group
    • Fever, chills, vomiting, diarrhea, poor feeding or anorexia, altered LOC
    • Bulging anterior fontanel, nuchal rigidity, Kernig's Sign, and Brudzinski Sign

    Talipes Equinovarus

    • Most common congenital deformity of the foot
    • Characterized by internal tibial torsion, plantarflexion, inversion, and adduction of the forefoot
    • Managed through serial casting, corrective surgery, or shoe correction

    Scoliosis

    • Lateral curvature of the vertebral column
    • Non-structural scoliosis: not associated with any true structural deformity at the vertebra
    • Structural scoliosis: lateral spine curve that cannot be fully corrected by lateral flexion, associated with bony changes and fixed rotatory deformity

    Nursing Interventions

    • Change diapers frequently
    • Teach parents on:
      • How to check the infant's toes for coldness or cyanosis
      • How to blanch a toenail bed and watch it turn pink to assess for good circulation
      • How to perform passive foot exercises

    Scabies

    • Caused by a mite that burrows into the skin
    • Mode of transmission: direct, prolonged, skin-to-skin contact with a person infested with scabies
    • Life cycle: adult mites, eggs, larvae, nymphs, and adult mites
    • Treatment: topical scabicide (e.g., 5% Permethrin cream, 10% crotamiton lotion, Lindane 1%)

    Death and Dying

    • Causes of death vary, but basic body changes lead to death of all vital body systems
    • Pulmonary changes: unable to oxygenate the body, assess for poor oxygenation
    • Cardiovascular changes: large load on heart, heart not getting needed oxygen, blood backs up causing failure
    • Blood circulation changes: blood backs up causing pulmonary and liver congestion
    • Neurologic decline: specific sensory decline, pain, and further neurologic decline at death

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    Description

    A quiz on Spina Bifida Occulta, a type of spinal cord defect characterized by the failure of posterior vertebral arches to close in the lumbosacral area. Learn about its signs and symptoms.

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