A 3-year-old is diagnosed with spastic cerebral palsy. What information should the nurse include in the discharge teaching?
"Activities will be modified to match the child's developmental age, not chronological age."
"Long-term corticosteroids will relieve exacerbations of this disorder."
"This disease causes progressive skeletal muscle degeneration."
"Prenatal screening is indicated for future pregnancies to predict similar risks."
The Correct Answer is A
A. Activities should be tailored to the child’s developmental level, as children with spastic cerebral palsy may have delays in reaching developmental milestones.
B. Corticosteroids are not typically used for cerebral palsy, as it is a non-progressive condition affecting motor function, not an inflammatory condition.
C. Cerebral palsy is non-progressive, meaning it does not worsen over time, though the muscle tightness (spasticity) may change as the child grows.
D. While prenatal screening can detect certain risk factors, it cannot predict the occurrence of cerebral palsy with certainty.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Profound cyanosis is a key sign of tricuspid atresia, a congenital heart defect where the tricuspid valve is absent, leading to poor oxygenation of the blood.
B. Periorbital edema is not typically associated with tricuspid atresia; it might be seen in other conditions like nephrotic syndrome.
C. Absent femoral pulses suggest coarctation of the aorta rather than tricuspid atresia.
D. Decreased blood pressure in the lower extremities is also more indicative of coarctation of the aorta, not tricuspid atresia.
Correct Answer is D
Explanation
A. Urinary and bowel continence is expected by age 4, so this does not warrant further investigation.
B. Tying shoes is a skill typically developed later, around 5-6 years of age, so not being able to do so at age 4 is not concerning.
C. Having an imaginary friend is common in children around this age and is not a cause for concern.
D. Speaking in 2-3 word sentences is typical for a younger child, around 2 years of age. By age 4, a child should be able to speak in more complex sentences, so this finding warrants further investigation.
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