3-week-old male newborn who was delivered vaginally at 33 weeks' gestation has a bulging anterior fontanel and distended scalp veins. A CT scan of the head shows hydrocephalus. A diagnosis of occlusion of the cerebral aqueduct is made A shunt will
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A 3-week-old male newborn who was delivered vaginally at 33 weeks' gestation has a bulging anterior fontanel and distended scalp veins. A CT scan of the head shows hydrocephalus. A diagnosis of occlusion of the cerebral aqueduct is made A shunt will be placed to allow
cerebrosoinal fluid to be drained to the thoracic cavity. The shunt should be placed in which of the following locations to effectively relieve the increased pressure?
A) Cisterna magna
B) Fourth ventricle
C) Lateral ventricle
D) Lumbar cistern
E) Superior sagittal sinus
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- A 65-year-old man presents with a 2-week history of abdominal discomfort. Physical examination reveals a pulsatile abdominal mass in the periumbilical region. A CT scan shows a segment of abdominal aorta proximal to the bifurcation that is dilated (5 cm) and calcified. The patient is scheduled for corrective surgery but suffers a massive stroke and expires. The abdominal aorta is examined at autopsy (shown in the image). Which of the following is the most likely underlying cause of this patient's abdominal mass? (A) Angiosarcoma (B) Atherosclerosis (C) Cystic medial necrosis (D) Hypercalcemia (E) ThromboembolismA 29 year old female patient who is 8 months pregnant is having an emergency appendectomy. She will have to receive general anesthesia for the procedure. What postoperative symptoms should be closely monitored that might indicate preterm labor?A 24-year-old primigravid woman at 37 weeks gestation is admitted because of ruptured membranes and contractions for 6 hours. Contractions occur every 3 minutes and last 45 seconds. The fetal heart rate is 140/min. Clear fluid in the vagina tests positive with nitrazine. Which of the following is the most appropriate next step in management? a. determination of the pH of the vaginal fluid b. ultrasonography to assess amniotic fluid volume c. digital examination of the cervix d. internal monitoring of the contractions e. amniocentesis for fetal maturity
- Five-year-old Carlo is admitted with a diagnosis of nephrosis and an infected wound on his left leg. After administering an intramuscular antibiotic to Carlo, which action indicates an understanding of his stage of development? Leaving the preschooler to provide privacy as he cries quietly. Applying a band aid on the injection site. Applying pressure dressing on the injection site. Explaining in detail the mechanism of pain.Milette, a 22 year old primigravida client is in her 22d week of pregnancy. The physician informed the client that she has pregnancy induced hypertension, She is admitted to the hospital. The nurse concludes that the client was diagnosed with pregnancy induced hypertension when the vital signs taken today show that the blood pressure has increased during pregnancy from 100/60 to 130/80. When assessing the client, the nurse thoroughly explore which finding at each visit? Any sudden weight gain An increase in urine output A decrease in urine protein level A decrease in pulse rateWhich of the following statements is false? Please encircle your answer and in each case, explain what is incorrect. When the muscular walls of the blood vessels all over a woman’s body contract, the space inside the vessels becomes larger so her blood pressure falls. Explanation: Hypertension during pregnancy reduces the blood supply from the endometrial arteries in the mother’s uterus to the fetus via the placenta. Explanation: Hypertension reduces the amount of amniotic fluid surrounding the fetus, because the blood flow to the baby’s kidneys is reduced so it makes less urine. Explanation: Fetal growth is not restricted in a pregnant woman with hypertension. Explanation:
- A nurse is reinforcing discharge teaching to a new parent regarding cord care. What information should be provided? 2. A nurse is collecting data on a pregnant client who is 12-weeks of gestation. What three (3) findings should be reported to the provider? 3. A nurse is performing Leopold maneuvers on a pregnant client presenting to the labor and delivery unit in active labor. The nurse notes the following findings: PMI right upper quadrant above maternal umbilicus. The nurse suspects the infant is in what presenting position?Mrs. Vanessa Narciso, a 35 weeks pregnant client approaches the hospital and verbalizes "Nurse Marina, my water broke. Which of the Following findings would Nurse Marina expect? Nitrogen paper indicated acidic pH of fluid Contractions occurring every 3 minutes Female patterns when vaginal fluid dries on a glass slide Cervical dilatation of 11 cmAfter applying the tourniquet on the antecubital fossa of a 30-year-old female patient, you were puzzled. There was no sign of the median cubital vein. You then moved to the cephalic vein, selecting a site and cleaning it. After it dried, you inserted the needle using an evacuated tube system. Blood dripped very slowly into the tube; at this rate, you thought the collection would take over 5 minutes, and the sample would likely still be inadequate. You explained this to your patient, removed the needle, and inserted it further up the vein—still almost no flow. You then reapplied the tourniquet, chose a site in the basilic vein and tried again. This time there was no blood—you must have missed the vein. What did you do wrong? What should you do now?