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Another patient that Nurse Olivia encountered is Carlo, a 6-week-old infant, diagnosed with hydrocephalus and myelomeningocele. Her mother told Nurse Olivia, that she had regular prenatal checkup with her obstetrician, immediately upon confirmation of her pregnancy. It was when the routine ultrasound was performed at 32 weeks’ gestation, that the parents learned about Carlo’s condition. Though his parents were initially devastated, they remained very excited about their son’s birth. The mother was scheduled for a caesarean section at 38 weeks’ gestation. She also mentioned that Carlo’s birthweight was 3.4 kg (7.5 lbs.) and was 51 cm (20 in.) in length. Also, at birth, his head circumference was 40 cm (15.8 in.) and his chest circumference was 34 cm (13.4 in.). He has bulging fontanels and a high-pitched cry. She claimed that the nurse on duty then, told her that Carlo’s vital signs were within normal. As Nurse Olivia continues her assessment, she noted a sac-like projection in the lumbar region of his spine. Carlo was referred for further assessment pending a possible surgery.

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3. discuss the priority nursing interventions when caring for Carlo’s myelomeningocele prior to surgery.

4. Carlo’s myelomeningocele was surgically repaired, and a shunt was placed for his hydrocephalus. Discuss the types of shunts including its complications.

5. What will be included in the medical management for Carlo? Give the rationale.. Get  Nursing Assignments  Help Today

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