Pediatric ATI Practice Exam

Which of the following assessments is important for a nurse monitoring an infant after myelomeningocele surgery?

1. Cardiac status

2. Neurological status

3. Skin integrity

4. Urine output

The correct answer is: Neurological status

Monitoring neurological status is crucial after myelomeningocele surgery because this condition involves a defect in the spinal column that can lead to various neurological impairments. The surgery aims to repair this defect, and it’s essential to assess for any changes in neurological function postoperatively. Neurological assessments include checking the infant's reflexes, movement, sensory responses, and signs of increased intracranial pressure, which can indicate complications such as infection or hemorrhage. Early identification of any neurological changes can prompt timely interventions to prevent further complications and optimize recovery. While assessing other aspects like cardiac status, skin integrity, and urine output are also important in the overall postoperative care of the infant, they do not specifically address the most immediate and direct concerns related to neurological function after myelomeningocele surgery. The focus on neurological status reflects the potential for significant implications on the infant’s future mobility, sensory perception, and overall quality of life.