PEDS Ch. 29: Neuromuscualr disorders

The nurse is conducting a presentation for a group of parents of adolescents at a local high school about spinal cord injury. One of the parents asks, "What is the most common cause of this type of injury?" Which response by the nurse would be most appropriate?

"Motor vehicle accidents cause over 50% of these injuries."

A pediatric nurse is providing care to several children. The nurse is reviewing the assessment findings for each of the children. Which finding requires the nurse to intervene?

3-year-old preschool-aged child who goes up stairs on hands and knees

A 6-month-old infant is brought to the emergency department with a sudden onset of weakness, constipation, and poor feeding. The nurse suspects botulism. Which intervention is the priority for the nurse?

Initiate respiratory support and airway management as needed.

The nurse is planning for the discharge of a child with spinal muscular atrophy hospitalized for respiratory complications. How will the nurse prepare the child and parents for discharge? Select all that apply.

Instruct parents on the use of a portable suction machine. Refer parents to a supplier of suction catheters. Assist parents with securing a home hospital-style bed. Encourage parents to perform regular oral care for their child.

The nurse is assessing the vestibulocochlear nerve function of an infant. How will the nurse proceed with the assessment?

Observe the infant's ability to startle to loud noises.

The pediatric nurse practitioner (PNP) records "positive Gowers' sign" after finishing the assessment of a young boy. How will the student nurse reading the PNP's note interpret this?

The boy rises from the floor by walking his hands up his legs.

The nurse is assessing a 6-year-old child. The nurse instructs the child, "Let me see all of your pretty white teeth." Which cranial nerve is the nurse assessing?

VII

The nurse is assessing for bladder and bowel function in a newborn with spina bifida at the level of the lumbar spine. Which reflex test would the nurse use to assess this function?

anal wink

The nurse is providing care for a 15-year-old client with a T6 spinal cord injury sustained in a skiing accident. Based on the assessment findings (above), what complication does the nurse suspect this client is experiencing?

autonomic dysreflexia

A 3-month-old infant is seen in the pediatric clinic. The infant's parent expresses concern that the child has developed cerebral palsy. The nurse assesses the infant. Which assessment finding indicates to the nurse that the parent's concern is valid?

hypertonia in the upper extremities

A nurse is providing care to a pediatric client hospitalized with a diagnosis of Duchenne muscular dystrophy (DMD). The nurse is reviewing the above laboratory results. Which laboratory result will have the greatest impact on the client's condition?

potassium

The nurse is preparing to perform a neurologic assessment on a 2-year-old child at a well-child visit. How will the nurse begin the assessment?

while the child is in the caregiver's lap