Question

M.S. is a 26-year-old woman pregnant who is with her first child. Her husband accompanied he to all her prenatal visits. An ultrasound during a routine visit at 34 weeks' gestation revealed th the baby had hydrocephalus and a myelomeningocele. The parents were initially devastated but remained very excited about the birth of their first child, M.S. was scheduled for a cesarean section at 38 weeks' gestation, and the couple we anxious about their child's condition and care following birth. M.S. delivered a baby boy by cesarean section; he was transferred to the pediatric intensive care unit. On admission to the nursery, the baby's vital signs and weight were withir normal limits, but his head circumference was large. He had bulging fontanelles and a high- pitched cry The nurse noted a saclike projection in the lumbar region of his spine. 13. Discuss the rationale for delivering the infant by cesarean section. 14. Discuss the significance of the infant's clinical manifestations. 15. Discuss the complications associated with myelomeningocele. Anna Bryant, an 88-year-old Caucasian female, is brought to the emergency room by her

Answer 1

13. The rationale for delivering the baby by caesarean section is because of the presence of hydrocephalus and myelomeningocele. It would be difficult to deliver the baby by normal vaginal delivery because of his huge size of head as it can cause tear etc .

14. The clinical manifestations of baby having a large circumference head, bulging fontanelles , high cry are representative of hydrocephalus .

15. Complications associated with myelomeningocele are :-

Traumatic birth and difficult delivery of the baby.

Frequent urinary tract infections.

Fluid buildup on the brain (hydrocephalus)

Loss of bowel or bladder control.

Brain infection (meningitis)

Permanent weakness or paralysis of legs