Maternal / Newborn Question #22


A nurse is assessing a neonate following a normal vaginal delivery and observes an indentation with tuft of hair at the base of the neonate’s spine. How will the nurse document this finding?


  1. Spina bifida occulta
    • Rationale:
  2. Spina bifida meningocele
    • Rationale:
  3. Spinal meningocele
    • Rationale:
  4. Normal finding for a neonate
    • Rationale:



The findings of spina bifida occulta is recognized as an indentation and tuft of hair at the spine between L5 and S1 vertebrae. There are no sensory or motor deficits. Option B and C are incorrect. The meningocele is the sac-like protrusion filled with spinal fluid and meninges and is associated with sensory and motor deficits. This is not a normal finding in neonates.

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