Exam 35: The Child With Neuromuscular or Muscular Dysfunction

A woman who is 6 weeks pregnant tells the nurse that she is worried that,even though she is taking folic acid supplements,the baby might have spina bifida because of a family history.The nurse's response should be based on what?

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?

What functional goal should the nurse expect for a child who has a T1 to T10 spinal cord injury?

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

A 14-year-old girl is in the intensive care unit after a spinal cord injury 2 days ago.What nursing intervention is a priority for this child?

A recommendation to prevent neural tube defects (NTDs)is the supplementation of what?

The nurse is caring for a neonate born with a myelomeningocele.Surgery to repair the defect is scheduled the next day.What is the most appropriate way to position and feed this neonate?

The nurse is preparing to admit a 5-year-old with spina bifida cystica that was below the second lumbar vertebra.What clinical manifestations of spina bifida cystica below the second lumbar vertebra should the nurse expect to observe?

What statement is most accurate in describing tetanus?

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?

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?

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?

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

What refers to a hernial protrusion of a saclike cyst of meninges,spinal fluid,and a portion of the spinal cord with its nerves through a defect in the vertebral column?

The health care provider has prescribed gabapentin (Neurontin)30 mg/kg/day divided q 8 hours for a child with cerebral palsy having seizures.The child weighs 110 lb.The nurse is preparing to administer the 1200 dose.Calculate the dose the nurse should administer in milligrams.Record your answer below in a whole number. _________

What statement best describes Duchenne (pseudohypertrophic)muscular dystrophy (DMD)?

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?

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 preparing to admit a 5-year-old child with a lower motor neuron syndrome.What clinical manifestations of a lower motor neuron syndrome should the nurse expect to observe?

What most accurately describes bowel function in children born with a myelomeningocele?