Neural Tube Defects Flashcards
Main factors of neural tube defects
maternal drug use, maternal malnutrition, chemicals, genetic predisposition
Spina bifida
general diagnosis for any neurological disorder
Why are there different levels of spina bifida
problems at different levels of development
Nursing focus for spina bifida
pain management and comfort
Spina bifida occulta
defect of vertebrae that causes nerve damage
What level of spina bifida is immediate medical attention not needed
spina bifida occulta
How does meningocele occur
meninges herniate through vertebrae
How is meningocele corrected
surgery
Myelomeningocele
neural tube doesn’t close causing a protrusion of the spinal cord, meninges, spinal fluid, and nerves
What does myelomeningocele create an increased risk of
meningitis, hypoxia, hemorrhage
Why early surgical intervention for myelomeningocele
decrease infection risk and decrease further loss of function
Physical exam of myelomeningocele
- sac (color, moisture, leakage)
- skin integrity
- neuro, reflexes
- musculoskeletal (gait, tone, activity)
Lab tests/diagnosis for myelomeningocele
CT/MRI, prenatal blood work
Nursing intervention/goal for myelomeningocele
protect sac, promote bowel and bladder function, prevent infection, promote adequate nutrition, prevent latex allergy, promote skin integrity, education and support
