Question 1

What are some of the associated disabilities seen with cerebral palsy? (Select all that apply.)

Accepted Answer

A)  Visual impairment 
B)  Hearing impairment 
C)  Speech difficulties 
D)  Intellectual impairment 
E)  Associated heart defects 
A)  Visual impairment 
B)  Hearing impairment 
C)  Speech difficulties 
D)  Intellectual impairment 
E)  Associated heart defects

Question 2

The most important nursing intervention when caring for an infant with myelomeningocele in the preoperative stage is which?

Accepted Answer

A)  Take vital signs every hour. 
B)  Place the infant on the side to decrease pressure on the spinal sac. 
C)  Watch for signs that might indicate developing hydrocephalus. 
D)  Apply a heat lamp to facilitate drying and toughening of the sac. 
A)  Take vital signs every hour. 
B)  Place the infant on the side to decrease pressure on the spinal sac. 
C)  Watch for signs that might indicate developing hydrocephalus. 
D)  Apply a heat lamp to facilitate drying and toughening of the sac.

Question 3

Spastic cerebral palsy (CP) is characterized by which clinical manifestations?

Accepted Answer

A)  Athetosis, dystonic movements 
B)  Tremors, lack of active movement 
C)  Hypertonicity; poor control of posture, balance, and coordinated motion 
D)  Wide-based gait; poor performance of rapid, repetitive movements 
A)  Athetosis, dystonic movements 
B)  Tremors, lack of active movement 
C)  Hypertonicity; poor control of posture, balance, and coordinated motion 
D)  Wide-based gait; poor performance of rapid, repetitive movements

Question 4

The nurse is preparing to admit a 2-year-old child with spina bifida occulta. What clinical manifestations of spina bifida occulta should the nurse expect to observe? (Select all that apply.)

Accepted Answer

A)  Dark tufts of hair 
B)  Skin depression or dimple 
C)  Port-wine angiomatous nevi 
D)  Soft, subcutaneous lipomas 
E)  Bladder and sphincter paralysis 
A)  Dark tufts of hair 
B)  Skin depression or dimple 
C)  Port-wine angiomatous nevi 
D)  Soft, subcutaneous lipomas 
E)  Bladder and sphincter paralysis

Question 5

The parents of an infant with cerebral palsy (CP) ask the nurse if their child will have cognitive impairment. The nurse's response should be based on which knowledge?

Accepted Answer

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. 
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.

Question 6

During a well-child visit, the mother tells the nurse that her 4-month-old infant is constipated, is less active than usual, and has a weak-sounding cry. The nurse suspects botulism and questions the mother about the child's diet. What factor should support this diagnosis?

Accepted Answer

A)  Breastfeeding 
B)  Commercial formula 
C)  Infant cereal with honey 
D)  Improperly sterilized bottles 
A)  Breastfeeding 
B)  Commercial formula 
C)  Infant cereal with honey 
D)  Improperly sterilized bottles

Question 7

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 nurse's response should be based on which knowledge?

Accepted Answer

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. 
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.

Question 8

The nurse is caring for a child with myasthenia gravis (MG). What health care prescription should the nurse verify before administering?

Accepted Answer

A)  Ceftizoxime (Cefizox) 
B)  Cefotaxime (Claforan) 
C)  Ceftriaxone (Rocephin) 
D)  Garamycin (gentamicin) 
A)  Ceftizoxime (Cefizox) 
B)  Cefotaxime (Claforan) 
C)  Ceftriaxone (Rocephin) 
D)  Garamycin (gentamicin)

Question 9

An 8-year-old child is hospitalized with infectious polyneuritis (Guillain-Barré syndrome [GBS]). When explaining this disease process to the parents, what should the nurse consider?

Accepted Answer

A)  Paralysis is progressive with little hope for recovery. 
B)  Disease is inherited as an autosomal, sex-linked, recessive gene. 
C)  Disease results from an apparently toxic reaction to certain medications. 
D)  Muscle strength slowly returns, and most children recover. 
A)  Paralysis is progressive with little hope for recovery. 
B)  Disease is inherited as an autosomal, sex-linked, recessive gene. 
C)  Disease results from an apparently toxic reaction to certain medications. 
D)  Muscle strength slowly returns, and most children recover.

Question 10

A toddler with spastic cerebral palsy needs to be transported to the radiology department. What transportation method should the nurse use to take the toddler to the radiology department?

Accepted Answer

A)  A stretcher 
B)  A wheelchair 
C)  A wagon with pillows 
D)  Carried in the nurse's arms 
A)  A stretcher 
B)  A wheelchair 
C)  A wagon with pillows 
D)  Carried in the nurse's arms

Question 11

What statement is most accurate in describing tetanus?

Accepted Answer

A)  Inflammatory disease that causes extreme, localized muscle spasm. 
B)  Disease affecting the salivary gland with resultant stiffness of the jaw. 
C)  Acute infectious disease caused by an exotoxin produced by an anaerobic spore-forming, gram-positive bacillus. 
D)  Acute infection that causes meningeal inflammation resulting in symptoms of generalized muscle spasm. 
A)  Inflammatory disease that causes extreme, localized muscle spasm. 
B)  Disease affecting the salivary gland with resultant stiffness of the jaw. 
C)  Acute infectious disease caused by an exotoxin produced by an anaerobic spore-forming, gram-positive bacillus. 
D)  Acute infection that causes meningeal inflammation resulting in symptoms of generalized muscle spasm.

Question 12

What is the most common cause of cerebral palsy (CP)?

Accepted Answer

A)  Central nervous system (CNS) diseases 
B)  Birth asphyxia 
C)  Cerebral trauma 
D)  Neonatal encephalopathy 
A)  Central nervous system (CNS) diseases 
B)  Birth asphyxia 
C)  Cerebral trauma 
D)  Neonatal encephalopathy

Question 13

The parents of a child with spastic cerebral palsy (CP) state that their child seems to have significant pain. In addition to systemic pharmacologic management, the nurse includes which teaching?

Accepted Answer

A)  Patterning 
B)  Positions to reduce spasticity 
C)  Stretching exercises after meals 
D)  Topical analgesics for muscle spasms 
A)  Patterning 
B)  Positions to reduce spasticity 
C)  Stretching exercises after meals 
D)  Topical analgesics for muscle spasms

Question 14

The nurse is caring for a family whose infant was just born with anencephaly. What is the most important nursing intervention?

Accepted Answer

A)  Implement measures to facilitate the attachment process. 
B)  Help the family cope with the birth of an infant with a fatal defect. 
C)  Prepare the family for extensive surgical procedures that will be needed. 
D)  Provide emotional support so the family can adjust to the birth of an infant with problems. 
A)  Implement measures to facilitate the attachment process. 
B)  Help the family cope with the birth of an infant with a fatal defect. 
C)  Prepare the family for extensive surgical procedures that will be needed. 
D)  Provide emotional support so the family can adjust to the birth of an infant with problems.

Question 15

The health care provider has prescribed dantrolene sodium (Dantrium) 0.5 mg/kg PO once a day for a child with cerebral palsy. The child weighs 55 lb. Calculate the dose the nurse should administer in milligrams. Record your answer below using one decimal place.
________

Accepted Answer

12.5
The correct calculation i

Question 16

The nurse is teaching the family with a child with cerebral palsy (CP) strategies to prevent constipation. What should the nurse include in the teaching session? (Select all that apply.)

Accepted Answer

A)  Increase fluid intake. 
B)  Increase fiber in the diet. 
C)  Administer stool softeners daily as prescribed. 
D)  Increase the amount of dairy products in the diet. 
E)  Allow the child to decide when to try to have a bowel movement. 
A)  Increase fluid intake. 
B)  Increase fiber in the diet. 
C)  Administer stool softeners daily as prescribed. 
D)  Increase the amount of dairy products in the diet. 
E)  Allow the child to decide when to try to have a bowel movement.

Question 17

The nurse is preparing to admit a 10-year-old child with Duchenne muscular dystrophy. What clinical features of Duchenne muscular dystrophy should the nurse recognize? (Select all that apply.)

Accepted Answer

A)  Calf muscle hypertrophy 
B)  Late onset, usually between 6 and 8 years of age 
C)  Progressive muscular weakness, wasting, and contractures 
D)  Loss of independent ambulation by 9 to 12 years of age 
E)  Slowly progressive, generalized weakness during adolescence 
A)  Calf muscle hypertrophy 
B)  Late onset, usually between 6 and 8 years of age 
C)  Progressive muscular weakness, wasting, and contractures 
D)  Loss of independent ambulation by 9 to 12 years of age 
E)  Slowly progressive, generalized weakness during adolescence

Question 18

What is a major goal of therapy for children with cerebral palsy (CP)?

Accepted Answer

A)  Cure the underlying defect causing the disorder. 
B)  Reverse the degenerative processes that have occurred. 
C)  Prevent the spread to individuals in close contact with the child. 
D)  Recognize the disorder early and promote optimum development. 
A)  Cure the underlying defect causing the disorder. 
B)  Reverse the degenerative processes that have occurred. 
C)  Prevent the spread to individuals in close contact with the child. 
D)  Recognize the disorder early and promote optimum development.

Question 19

The health care provider has prescribed neostigmine (Prostigmin) 0.04 mg/kg/per dose SC q 4 to 6 hrs PRN for a child with myasthenia gravis. The child weighs 77 lb. The nurse is preparing to administer a dose. Calculate the dose the nurse should administer in milligrams. Record your answer below using one decimal place.
________

Accepted Answer

1.4
The correct calculation is

Exam 35: The Child with Neuromuscular or Muscular Dysfunction

What are some of the associated disabilities seen with cerebral palsy? (Select all that apply.)

The most important nursing intervention when caring for an infant with myelomeningocele in the preoperative stage is which?

Spastic cerebral palsy (CP) is characterized by which clinical manifestations?

The nurse is preparing to admit a 2-year-old child with spina bifida occulta. What clinical manifestations of spina bifida occulta should the nurse expect to observe? (Select all that apply.)

The parents of an infant with cerebral palsy (CP) ask the nurse if their child will have cognitive impairment. The nurse's response should be based on which knowledge?

During a well-child visit, the mother tells the nurse that her 4-month-old infant is constipated, is less active than usual, and has a weak-sounding cry. The nurse suspects botulism and questions the mother about the child's diet. What factor should support this diagnosis?

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 nurse's response should be based on which knowledge?

The nurse is caring for a child with myasthenia gravis (MG). What health care prescription should the nurse verify before administering?

An 8-year-old child is hospitalized with infectious polyneuritis (Guillain-Barré syndrome [GBS]). When explaining this disease process to the parents, what should the nurse consider?

A toddler with spastic cerebral palsy needs to be transported to the radiology department. What transportation method should the nurse use to take the toddler to the radiology department?

What statement is most accurate in describing tetanus?

What is the most common cause of cerebral palsy (CP)?

The parents of a child with spastic cerebral palsy (CP) state that their child seems to have significant pain. In addition to systemic pharmacologic management, the nurse includes which teaching?

The nurse is caring for a family whose infant was just born with anencephaly. What is the most important nursing intervention?

The health care provider has prescribed dantrolene sodium (Dantrium) 0.5 mg/kg PO once a day for a child with cerebral palsy. The child weighs 55 lb. Calculate the dose the nurse should administer in milligrams. Record your answer below using one decimal place. ________

The nurse is teaching the family with a child with cerebral palsy (CP) strategies to prevent constipation. What should the nurse include in the teaching session? (Select all that apply.)

The nurse is preparing to admit a 10-year-old child with Duchenne muscular dystrophy. What clinical features of Duchenne muscular dystrophy should the nurse recognize? (Select all that apply.)

What is a major goal of therapy for children with cerebral palsy (CP)?

Perspectives of Pediatric Nursing

Social, Cultural, Religious, and Family Influences on Child Health Promotion

Hereditary Influences on Health Promotion of the Child and Family

Communication, Physical, and Developmental Assessment

Pain Assessment and Management in Children

Childhood Communicable and Infectious Diseases

Health Promotion of the Newborn and Family

Health Problems of Newborns

The High-Risk Newborn and Family

Health Promotion of the Infant and Family

Health Problems of the Infant

Health Promotion of the Toddler and Family

Health Promotion of the Preschooler and Family

Health Problems of Early Childhood

Health Promotion of the School-Age Child and Family

Health Problems of the School-Age Child

Health Promotion of the Adolescent and Family

Health Problems of the Adolescent

Family-Centered Care of the Child with Chronic Illness or Disability

Family-Centered Palliative Care

The Child with Cognitive, Sensory, or Communication Impairment

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Nursing Interventions and Skills

The Child with Fluid and Electrolyte Imbalance

The Child with Renal Dysfunction

The Child with Gastrointestinal Dysfunction

Overview of Oxygen and Carbon Dioxide Exchange

The Child with Respiratory Dysfunction

The Child with Cardiovascular Dysfunction

The Child with Hematologic or Immunologic Dysfunction

The Child with Cancer

The Child with Cerebral Dysfunction

The Child with Endocrine Dysfunction

The Child with Musculoskeletal or Articular Dysfunction

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