A nurse is assessing a child who has been diagnosed with muscular dystrophy. Which of the following assessment findings should the nurse expect? (Select All that Apply.)
Delayed motor development
Lung defects
Scoliosis
Insomnia
Muscle weakness
Correct Answer : A,B,C,E
A. Delayed motor development: Muscular dystrophy is characterized by progressive muscle degeneration that often presents in early childhood. Delayed milestones such as late walking, difficulty running, or frequent falls are common early assessment findings.
B. Lung defects: Progressive weakness of respiratory muscles can impair ventilation and cough effectiveness. Over time, this can lead to restrictive lung disease, recurrent respiratory infections, and decreased pulmonary function.
C. Scoliosis: Weakness of trunk and paraspinal muscles contributes to abnormal spinal curvature. As muscle imbalance progresses, scoliosis commonly develops and can further compromise respiratory function.
D. Insomnia: Sleep disturbances are not a defining or expected manifestation of muscular dystrophy. While fatigue may occur, insomnia is not a characteristic assessment finding related to the disease process itself.
E. Muscle weakness: Progressive, symmetrical muscle weakness is the hallmark feature of muscular dystrophy. It typically begins in proximal muscles and worsens over time, significantly affecting mobility and functional ability.
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Related Questions
Correct Answer is C
Explanation
A. The child has taken phenytoin medication for seizures: Phenytoin use is not associated with the development of arteriovenous malformations. Anticonvulsants do not increase AVM risk; they are prescribed to manage seizure activity, which may occur if an AVM is already present.
B. The child is a 6-year-old female: Age and sex alone are not considered risk factors for AVMs. While AVMs can present in childhood, there is no significant predilection based solely on being female or the child’s age.
C. The child has a genetic history of Hippel-Lindau disease: Genetic disorders such as Hippel-Lindau disease are associated with increased risk of vascular malformations, including AVMs. Recognizing a family or personal history of these conditions is essential in assessing risk.
D. The client smoked while they were pregnant with the child: Maternal smoking is linked to low birth weight and certain congenital defects, but it is not a known risk factor for the development of arteriovenous malformations.
Correct Answer is C
Explanation
A. "Most individuals with ASD are also diagnosed with Down syndrome, another developmental disorder.": Down syndrome is a separate genetic condition and is not commonly co-occurring with autism spectrum disorder. While comorbidities can exist, this is rare.
B. "Hypertension is a common co-morbid condition with ASD due to the stress associated with the disorder.": Hypertension is not typically associated with ASD in children. Stress may affect behavior, but it does not make hypertension a common comorbidity in this population.
C. "Often those with ASD also have sensory processing issues, which can affect their responses to certain textures, sounds, or lights.": Sensory processing differences are highly prevalent in individuals with ASD. These issues can manifest as hypersensitivity or hyposensitivity to sensory stimuli and are an important consideration in therapy, education, and daily care.
D. “Type 1 diabetes is a condition that is frequently found in conjunction with ASD.": Type 1 diabetes is an autoimmune condition that is not commonly associated with ASD. There is no established frequent co-occurrence between the two conditions.
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