Free PN NCLEX Practice Questions Practice Question

An infant had a repair of a myelomeningocele two days ago. Which assessment is most important to detect a problem commonly seen following myelomeningocele repair?

Correct Answer: D

Rationale: Following myelomeningocele repair, monitoring head circumference is crucial as it helps detect potential complications such as increased intracranial pressure or hydrocephalus, which are common after this type of surgery.

Bowel sounds (A) are important for gastrointestinal function but do not directly indicate complications from the surgery. Pulse oximetry (B) assesses oxygen levels, which is vital but not specific to myelomeningocele repair. Blood pressure in all four extremities (C) helps evaluate circulation but is less relevant than head circumference for identifying post-operative issues related to the central nervous system.

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