Cerebral Palsy

which med is used for the treatment of spasticity in CP 1. decadron 2. baclofen 3. coltaren 4. tegretol

2 used to treat spasticity in CP it is a centrally acitng muscle relaxant

The parent of a toddler newly diagnosed with CP asked the nurse what caused it the nurse should answer with which of the following a. most cases are caused by unknown prenatal factors b. it is commonly caused by perinatal factors c. the exact cause is not known d. the exact cause is known in every instance

A

The parents of a 12 month old with CP asked the nurse if they should teach their child sign language because he has not begun to vocalize the nurse bases the response and the knowledge that sign language a. may be a very beneficial way to help children with CP communicate b. may cause confusion and further delay vocalization c. is difficult to learn for most children with CP d. is beneficial to learn but it would be best to wait until the child is older

A

The parents of a child with CP are learning how to feed their child and avoid aspiration the nurse would question which of the following when reviewing the teaching plan a. place the food on the tip of the tongue b. place the child in an upright position during feedings c. feed the child soft and blended foods d. feed the child slowly

A

You're still the family of a child with CP that since the 1960s the incidence of CP has a. increased b. decreased c. remained the same d. decreased due to early misdiagnosis

A

A child with cerebral palsy has been fitted for braces and is beginning physical therapy to assist with ambulation the parents ask why he needs the braces when he was calling without any assistive devices select the nurses best response a. the CP has progressed and he now needs more assistance to ambulate b. as your child grows different muscle groups may need more assistance c. most children with CP need braces to help with ambulation d. we have found that when children with CPUs braces they are less likely to fall

B

A child with spastic CP had an intrathecal dose of baclofen in the early afternoon what is the expected result 3 1/2 hours post does it suggest the child would benefit from a baclofen pump a. the ability to self feed b. the ability to walk with little assistance c. decreased spasticity d. increased spasticity

C

The nurse prepares to administer Baclofen into a child with CP who just had her hamstring surgically released the child's parents ask with the medication is for select the nurses best response a. It is a medication that will help decrease the pain from her surgery b. it is a medication that will prevent her from having seizures c. it is a medication that will help control her spasms d. it is a medication that will help with bladder control

C

The parent of a young child with CP brings the child to the clinic for a check up which parent statement indicates an understanding of the child's long-term needs a. my child would need all of my attention for the next 10 years b. once in school my child will catch up and be like the other children c. my child will grow up and need to learn to do things independently d. I'm the one who knows the most about my child and can do the most for my child

C

The nurse evaluates teaching the parents of a child newly diagnosed with CP as a successful when the parents state that CP is which of the following a. inability to speak and uncontrolled drooling b. involuntary movements of lower extremity's only c. involuntary movements of upper extremity's only d. an increase in muscle tone and deep tendon reflex is

D

which applies to CP select all that apply a. it is the most common chronic disorder of childhood b. hyeprbilirubinemia increases the risk of CP c. it is a progressive chronic disorder d. most children do not experience any learning disabilities e. there is a familial tendency seen in children with CP

a,b

Child is admitted to the pediatric unit with spastic CP witch with the nurse expect a child with spastic CP to demonstrate select all that apply a. increased deep tendon reflex b. decreased muscle tone c. scoliosis d. contractures e. scissoring f. good control of posture g. good fine motor skills

A,C,D,E

a nurse is teaching the parents of a child recently dx with CP about the dx. which statements, by the parents would indicate that teaching was effective. select all that apply a. we will schedule frequent rest periods throughout the day b. our child will have to spend a lot of time in the hospital c. we will have to learn to feed our son through a feeding tube d. our child will have to learn to read sign language in order to communicate e. we will have to learn exercises and positioning to prevent deformities from occuring

A,E

The parent of an infant with CP asked the nurse if infant will be mentally retarded which is the nurses best response a. Children with CP have some amount of mental retardation b. approximately 20% of children with CP have normal intelligence c. many children with CP have normal intelligence d. mental retardation is expected of motor and sensory deficits are severe

C

A trio child with CP is admitted for dehydration following an episode of diarrhea the nurses assessment follows awake hale then ChildLine in bed multiple contractors drooling coughing spells noted wooden parent feeds temperature 97.8 pulse 75 respiratory rate 25 weight 7.2 kg no diarrhea stool for 48 hours which nursing diagnosis is most important a. potential for skin breakdown lying in one position b. alterations in nutrition less than body requirements c. potential for impaired social support mother sole caretaker d. alteration in elimination diarrhea

B

Child requires continuous follow up because of behavior suspicious of CP a. one month old who demonstrates the startle reflex when allowed noises heard b. six-month-old who always reaches for toys with the right hand c. 14th-month-old who has not begun to walk d. two-year-old who is not yet achieved bladder control during waking hours

B

the nurse is teaching the mother of a child with cerebal palsy about the condition. which observation would indicate that the mother needs further instruction a. the mother gvies the child assistive devices for eating b. the mother feeds the child because he is unable to eat without making a mess c. the mother provides adequate time for the child to finish eating d. the mother provides finger foods

B

Which child is at increased risk for CP a. infant born at 34 weeks with an Apgar score of six at five minutes b. 17 day old infant with group B streptococcus meningitis c. 24 month old child who is experienced a febrile seizure d. five-year-old with a closed head injury after falling off a bike

B (any infection of the CNS system increases risk)

The parents of a child with meningitis and multiple seizures ask if the child life we develop CP select the nurses best response a. when your child is stable she will undergo CT and MRI the physicians will be able to let you know if she has CP b. most children do not develop CP at this late age c. your child will be closely monitored after discharge in the developmental specialist will be able to make the diagnosis d. most children who have had complications following meningitis develop some amount of CP

C

a nurse notes that a 4yo child with CP has a weight at the 30th percentile and a height at the 60th percentile. what is the most important information for the nurse to provide this childs family a. the child should eat fewer calories per day b. the childs height and weight are within the normal range c. the child needs to increase his number of calories d. the child is small for a 4 yo and will never be avg

C

The nurse is caring for a child with CP whose weight is in the 5th percentile and has been hospitalized for aspiration ammonia his parents are anxious and state that they do not want a G-tube placed what should be the nurses best response a. a G tube will help your son gain weight and reduce his risk for future hospitalizations due to pneumonia b. g-tubes are very easy to care for and will make feeding times easier for your family c. are you concerned that you will not be able to care for his G-tube d. tell me what your thoughts are about G-tubes

D

The nurse is caring for a two month old infant who is at risk for CP. due to extreme low birth weight and prematurity his parents ask why a speech therapist is involved in his care. select the nurses best response a. your child is likely to have speech problems because of his early birth. involving the speech therapist now will ensure vocalization at a developmentally appropriate age b. the speech therapist will help with tongue and jaw movements to assist with Banbling c. many members of the healthcare team are involved in your child's care so that will know if there are any unmet needs d. the speech therapist will help with tongue and jaw movements to assist with feeding

D

The nurse is developing a plan of care for a child recently diagnosed with CP what should be the nurses priority goal a. Ensure the ingestion of sufficient calories for growth b. decrease intracranial pressure c. teach appropriate parenting strategies for a special needs child d. ensure that the child reaches full potential

D

The parent of an infant asked the nurse what to watch for to determine if the infant has CP which is the nurses best response a. if the infant cannot sit up without support before eight months b. if the infant demonstrates tongue thrust before four months c. if the infant has poor head control after two months d. if the infant has clenched fist after three months

D

the nurse is teaching the parents of a 17mo dx with cerebral palsy how to prevent the scissoring position. what is the most appropriate instruction by the nurse a. keep the child in leg braces 23 hours a day b. let the child lay down as much as possible c. try to keep the child as quiet as possible d. straddle the child on your hip when being carried

D

which statemetn by the parent of a child with cerebral palsy, would indicate that a nurses teaching has been successful a. my childs muscles will get stronger over time b. my childs condition will get progressively worse c. my child will have low intelligence d. my child will need continual therapy to maintain functioning

D