Myelomeningocele/Spina Bifida Flashcards
sally sue, 9, female w spina bifida. wheelchair b/c loss of motor function in lower half body. can’t brush teeth b/c learning disability. mom says sally brushes 1x/day no flossing. sally outgoing and happy. regular dental visits, likes teeth cleaning. 6 mo prophylaxis and exam
deficit
due to
evidenced by
responsibility of oral health
inable to brush her own teeth
learning disability
sally sue, 9, female w spina bifida. wheelchair b/c loss of motor function in lower half body. can’t brush teeth b/c learning disability. mom says sally brushes 1x/day no flossing. sally outgoing and happy. regular dental visits, likes teeth cleaning. 6 mo prophylaxis and exam
can hygienist use latex gloves?
no, b/c people with spina bifida have increased risk of latex allergy
can sally walk to pt. chair w/o help
no, she needs body stabilization and support
t/f:
sally’s body needs stabilization and support
true
t/f:
etiology of spina bifida unknown
true
loss of what sensation is a result of spina bifida
pain
touch
temperature
(all)
spina bifida may also cause loss of control over
bladder and bowel
nearly _____% children w/ myelomeningocele has hydrocephalus
80
multivitamin w/ ____ is taken during pregnancy to prevent spina bifida
folic acid
bladder and bowel paralysis leads to ____ infection
kidney
bracing to support trunk and lower limps is ____ surgery
orthopedic
closure of myelominingocele is
neurosurgery
spina bifida
vertebrae fail to close around spinal cord
spina bifida occulta
has no out pouching
type of shunt doesn’t need to be pre-medicated
ventriculoperitoneal
types of food have folic acid
beans and liver
dark leafy greens
fortified cereals and breads
means abnormal accumulation of cerebrospinal fluid in cranial vault
hydrocephalus
type of shunt is a plastic tubing btwn cardiac atrium and cerebral ventricle
ventriculoatrial
t/f:
individuals must be shifted periodically to have good nutrition and hygiene to prevent decubitus ulcers
true
t/f:
decubitus ulcer is a cold sore
false
t/f:
there may be a tuft of hair or birthmark at spot of spinal malformation
true
means cleft spine
spina bifida
not involving the spinal cord
spina bifida occulta
paralysis is uncommon
meningocele
flaccid paralysis of legs and part of trunk
myelomeningocele
bracing to support the trunk and lower limbs
orthopedic
pic w/ skin and tuft of hair
spina bifida occulta
pic w/ skin, spinal cord, membrane
mylomeningocel
pic w/ spinal fluid, skin, spinal cord
meningocele