A parent brings a 12-month-old child diagnosed with congenital cerebral palsy to the clinic. The nurse completes an assessment. Which assessment finding does the nurse determine needs immediate intervention?
Babbling speech
Suspected failure to thrive
Sits with assistance
Spastic movements of the extremities
The Correct Answer is B
A. Babbling is appropriate at this developmental stage.
B. Failure to thrive can indicate poor nutrition or other health issues requiring urgent intervention.
C. Sitting with assistance is common in cerebral palsy at this age.
D. Spastic movements are common with cerebral palsy and do not require immediate intervention unless they worsen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"D"}
Explanation
Pulmonary embolism: The child shows a slight decline in oxygen saturation (from 95% to 93%) and labored breathing, both of which can indicate early signs of respiratory complications.
Oxygen saturation levels: Decreased oxygen saturation is a concerning sign that points toward respiratory issues, which can include pulmonary embolism, especially in a post-trauma patient with limited mobility.
Correct Answer is A
Explanation
A. Children with Down syndrome often experience developmental delays, and explaining this helps reassure the parent.
B. While a physical therapist may be helpful, the nurse should first address the parent's concerns with information.
C. Asking about siblings does not address the parent's specific concern.
D. Asking about other milestones may shift focus away from the parent's immediate worry.
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