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Unformatted text preview: further evaluation and intervention.
287. Hernia A warm bath, avoidance of upright positioning, and other comfort measures to reduce crying are all simple measures to
reduce a hernia. Coughing and crying increase the strain on the hernia. Likewise, physical activity and enemas of any type would
increase the strain on the hernia.
288. Spina Bifida (Myelomeningocele type)
A bulging or taut anterior fontanel would indicate the presence of increased
intracranial pressure. Blood pressure is difficult to assess during the newborn period and is not the best indicator of intracranial
pressure. Urine concentrating ability also is not well developed at the newborn stage of development. Monitoring for signs of
dehydration will not provide data related to increased intracranial pressure.
289. Diabetes The child should be instructed to carry a source of glucose for ready use in the event of a hypoglycemic reaction. Hard
candies such as LifeSavers will provide a source of glucose. A diet beverage is sugar-free and will not be helpful. If the blood
glucose level is 60 mg/dL, a source of glucose...
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This document was uploaded on 03/29/2014.
- Spring '14