Spina Bifida preoperative nursing actions {Ans: -Prepare the family for surgery (within the first 24 to 72 hours after birth) -Protect the sac from injury -Place infant in a warmer, without clothing -Apply a sterile, moist, nonadhering dressing with 0.9% sodium chloride on the sac, changing it every 2 hours. -Place infant in the prone position with hips flexed, legs abducted -Avoid rectal temperatures -Avoid putting pressure on sac}Early signs of hypoxemia {Ans: -Tachypnea -Tachycardia -Restlessness -Pallor skin -Use of accessory muscles, nasal flaring, adventitious lung sounds}Client education for hemophilia {Ans: -Set activity restrictions to avoid injury (Low contact sports) -Encourage the use of a soft bristled toothbrush -Maintain up to date immunizations -Teach to control bleeding episodes using RICE (rest, ice, compression, elevate}What is present in a coarctation of the aorta? {Ans: Elevated blood pressure in the ARMS Bounding pulses in the upper extremities Decreased blood pressure in LOWER extremities Cool skin of lower extremities Weak or absent femoral pulses}Nursing care of appendicitis {Ans: Avoid applying heat to the abdomen Avoid enemas or laxatives}Expected findings of juvenile idiopathic arthritis {Ans: -Joint swelling, stiffness, redness, and warmth that tend to be worse in the