A nurse is collecting data from a child who has been diagnosed with muscular dystrophy. Which of the following findings should the nurse expect? (Select All that Apply.)

Delayed motor development

Lung defects

Scoliosis

Insomnia

Muscle weakness

Answer and Explanation

Correct Answer : A,C,E

A. Delayed motor development. Children with muscular dystrophy often experience delayed milestones, such as difficulty walking, running, or climbing stairs. This is due to progressive muscle weakness, which affects motor skill acquisition.

B. Lung defects. While respiratory muscle weakness can occur in later stages of muscular dystrophy, congenital lung defects are not a primary characteristic of the condition. Respiratory complications typically arise due to muscle deterioration rather than structural lung defects.

C. Scoliosis. Progressive muscle weakness leads to postural instability, increasing the risk of scoliosis (abnormal spinal curvature). This is particularly common in Duchenne muscular dystrophy (DMD) as the muscles supporting the spine weaken.

D. Insomnia. Sleep disturbances are not a primary symptom of muscular dystrophy. However, respiratory complications or discomfort in later stages may contribute to sleep issues, but insomnia is not a defining feature.

E. Muscle weakness. Progressive muscle weakness is the hallmark of muscular dystrophy. It typically starts in the proximal muscles (hips, thighs, shoulders) and worsens over time, leading to mobility challenges and loss of independence.

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Correct Answer is C

Explanation

A. "My child should not be involved in their treatment plan." Children, even those who are terminally ill, benefit from age-appropriate involvement in their care. Allowing them to participate in decisions when possible helps reduce anxiety and provides a sense of control.

B. "My child is too young for medication techniques to help with pain." Pain management, including medications and non-pharmacologic methods, is essential for children of all ages. Palliative care ensures comfort, regardless of age.

C. "Hospice will provide my child with spiritual and mental health care." Hospice care addresses the physical, emotional, and spiritual needs of terminally ill children and their families. Counseling, pastoral support, and grief resources are essential components of end-of-life care.

D. "We should not discuss the possibility of death with our child." Open and age-appropriate discussions about death help children understand their condition and process emotions. Avoiding the topic can lead to confusion and increased fear.

A. The child is able to answer simple questions. B. The child engages in conversation. C. The child knows to stays away from danger. D. The child adheres to rules.

Correct Answer is A

Explanation

A. The child is able to answer simple questions. By the age of 3, children develop basic language skills, allowing them to respond to simple questions. Their vocabulary expands significantly, and they begin to form short sentences, making communication more interactive.

B. The child engages in conversation. While 3-year-olds can communicate basic needs and thoughts, true conversational skills, including back-and-forth exchanges with complex sentences, typically develop later, around age 4 to 5.

C. The child knows to stay away from danger. At 3 years old, children have limited understanding of danger and often require close supervision to ensure safety. Their impulse control is still developing, making them prone to risky behaviors.

D. The child adheres to rules. While toddlers begin to understand rules, they may not consistently follow them. At this stage, they still need reminders and reinforcement, as their self-regulation skills are not yet fully developed.

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A nurse is collecting data from a child who has been diagnosed with muscular dystrophy. Which of the following findings should the nurse expect? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is A

Explanation

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