Nokea
The nurse should suspect a child has cerebral palsy (CP) if the parent says what?
- A. My 6-month-old baby is rolling from back to prone now.
- B. My 4-month-old doesnt lift his head when on his tummy.
- C. My 8-month-old can sit without support.
- D. My 10-month-old is not walking.
Correct Answer: B
Rationale: A 4-month-old not lifting their head when prone indicates a gross motor delay, a hallmark of CP, as this skill is expected by 0-3 months. Rolling at 6 months, sitting at 8 months, and not walking at 10 months are within normal developmental ranges.
You may also like to solve these questions
What type of cerebral palsy (CP) is the most common type?
- A. Ataxic
- B. Spastic
- C. Dyskinetic
- D. Mixed type
Correct Answer: B
Rationale: Spastic CP, marked by initial hypotonia transitioning to hypertonicity, is the most common type. Ataxic, dyskinetic, and mixed types are less frequent, with spastic CP showing increased stretch reflexes and weakness.
The parents of an infant with cerebral palsy (CP) ask the nurse if their child will have cognitive impairment. The nurses response should be based on which knowledge?
- A. Affected children have some degree of cognitive impairment.
- B. Around 20% of affected children have normal intelligence.
- C. About 45% of affected children have normal intelligence.
- D. Cognitive impairment is expected if motor and sensory deficits are severe.
Correct Answer: C
Rationale: Approximately 40% to 50% of children with CP have normal intelligence, with a wide range of cognitive outcomes. Severe physical impairment does not necessarily correlate with cognitive deficits, and many have minimal intellectual compromise.
An 8-year-old girl with moderate cerebral palsy (CP) recently began joining a regular classroom for part of the day. Her mother asks the school nurse about joining the after-school Girl Scout troop. The nurses response should be based on which knowledge?
- A. Most activities such as Girl Scouts cannot be adapted for children with CP.
- B. After-school activities usually result in extreme fatigue for children with CP.
- C. Trying to participate in activities such as Girl Scouts leads to lowered self-esteem in children with CP.
- D. Recreational activities often provide children with CP with opportunities for socialization and recreation.
Correct Answer: D
Rationale: Recreational activities like Girl Scouts enhance socialization, recreation, and self-esteem in children with CP, with adaptations available. They don?t typically cause extreme fatigue or lower self-esteem, and most activities can be modified.
A 4-month-old with significant head lag meets the criteria for floppy infant syndrome. A diagnosis of progressive infantile spinal muscular atrophy (Werdnig-Hoffmann disease) is made. What should be included in the nursing care for this child?
- A. Infant stimulation program
- B. Stretching exercises to decrease contractures
- C. Limited physical contact to minimize seizures
- D. Encouraging parents to have additional children
Correct Answer: A
Rationale: An infant stimulation program with frequent position changes and sensory input is vital for Werdnig-Hoffmann disease to support development. Contractures are not a concern due to muscle atrophy, sensation is normal, and genetic counseling is needed, not encouragement for more children.
Gingivitis is a common problem in children with cerebral palsy (CP). What preventive measure should be included in the plan of care?
- A. High-carbohydrate diet
- B. Meticulous dental hygiene
- C. Minimum use of fluoride
- D. Avoidance of medications that contribute to gingivitis
Correct Answer: B
Rationale: Meticulous dental hygiene prevents gingivitis in CP, countering enamel defects, high-carbohydrate diets, and spasticity-related oral care challenges. Fluoride use is encouraged, and medications like phenytoin may require hygiene adjustments, not avoidance.