Test 3 Diability Flashcards
(16 cards)
Spina bifida occulta
Not visible
Causes a dimple
Often causes neurologic involvement
Meningocele
Saclike cyst of meninges but not spinal nerves filled with CSF
Myelomeningocele
Sac contains meninges, CSF and spinal nerves
Myelomeningocele treatment
Early surgical closure
Usually 1st 24hrs to decrease risk of infection from fluid leaking
May be able to walk with braces in lesion low enough
Have bowel and bladder problems
Need bowel and bladder retraining
Myelomeningocele symptoms
Weakness and paralysis below defect
Bowel and bladder function affected
Hydrocephalus
Causes of neural tube defects
Folic acid deficit
Elevated maternal temp in 1st tri
AFP increased with spina bifida
Ultrasound
Myelomeningocele hydrocephalus monitoring
Head circumference
Fontanel S
Ventricular size
Bed time routine
Be consistent Read Independence Encourage security item Don't use as punishment Nothing scary
Nightmares
Accept dream as real Comfort them Check room Nightlight Return to own bed Encourage talk
Night terrors
Common in preschoolers Cry and scream Last 1-5min Don't wake up or remember Outgrow by 5 or6 Decrease stress
Sleeplessness
Many children struggle
May be related to anxiety
Remember routine
Children need to get back to sleep without parent
Neglect
Failure to provide for the basic needs and adequate care
Physical and emotional
Poorer families
Physical abuse
Shaken baby
Munchausen by proxy
Single out child
Sexual abuse
Committed by caregiver
UTI
STDs
Child abuse syptoms
Frequent injuries
Changing story
Child acts out
Family stressors
Treatment of child abuse
Protect child Support family Plan for discharge Prevent Promote infant parent bonding More office visits Phone calls Home visits
