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As described in Chapter 15, this somatic loss of operate can happen by a wide range of mechanisms, including loss of heterozygosity, intragenic mutation, transcriptional inactivation, and, not often, dominant unfavorable results of the inherited mutant allele. Nursing management of a child with myelomeningocele focuses on preventing infection, promoting bowel and urinary elimination, promoting middling nutrition, preventing latex allergy answer, maintaining skin coherence, providing drilling and reinforce to the family, and recognizing complications, such as hydrocephalus or increased ICP, associated with the disorder.

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