T3 - Crania / Neural Tube Defects

Question 1

— is absence of the brain.

Answer 1

Anencephaly

Question 2

Need daily folic acid of

Answer 2

400 mcg

Question 3

Types of Myelodysplasia (Spina Bifida):

Answer 3

Occulta (not visible externally or may have a dimple)

Cystica (visible defect w/ sac-like protrusion)

Question 4

Another term for Spina Bifida?

Answer 4

Myelodysplasia

Question 5

Types of Cystica (visibal sac for Spina Bifida):

Answer 5

Meningocele (no neuro defect)

Myelomengocele (spina bifida meninges, spinal fluid, and nerves)

Question 6

Which region of the spine s effected w/ SB?

Answer 6

Lumbo-sacral area

Question 7

SB is frequently associated w/ –

Answer 7

hydrocephalus

Question 8

Symptoms of SB depend on –

Answer 8

location:

• loss of bowel function
• paralysis of legs
• hip dislocations/club feet

Question 9

Cystica SB:

– has nerves in it

– has no nerves in it

Answer 9

myelomeningocele

meningocele

• NOTE: the bigger word has more in it

Question 10

Biggest problem w/ SB?

Answer 10

infection if it bursts

Question 11

What do we observe for w/ SB?

Answer 11

leakage of CSF

Question 12

– surgery can be done to repair SB.

Answer 12

Intrauterine

Question 13

SB child will be treated by:

Answer 13

neurology

neurosurgery,

pediatrics,

urology,

orthopedics,

rehabilitation,

physical therapy,

nursing care,

collaborative efforts

Question 14

In —, there is meninges and spinal fluid in sac, but no neural elements.

Answer 14

meningocele

Question 15

How is Meningocele confirmed?

Answer 15

positive translumination

• the light shines through, indicating that there is no nerves in the sac

Question 16

In –, there is meninges, spinal fluid and NERVES in the sac.

Answer 16

mylomeningocele

Question 17

Foods w/ Folic Acid.

Answer 17

Leafy Greens

Question 18

Why do we need increased vit. C during pregancy?

Answer 18

to increase absorption of the Folic Acid (from leafy greens)

Question 19

Lesion on low sacral area may exhibit — but no —

Answer 19

bowel-bladder incontinence

impairment of motor functions

Question 20

Clinical manifestations of SB:

Answer 20

• Sac protrusion
• neuromuscular symptoms
• orthopedic probs
• UTI probs

Question 21

Amniotic studies to evaluate for SB look for –

Answer 21

a-1 globulin

Question 22

If hydrocephalus is present w/ SB, what else will we do besides correct SB?

Answer 22

shunt

Question 23

In prepping for surgery, what is goal with sac?

Answer 23

keep it intact and toughen it

keep it moist and warm

Question 24

Odd allergy SB clients predisposed to?

Answer 24

Latex