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 A
Explanation
A. The myelomeningocele should be kept moist and covered with a sterile, non-adherent dressing to protect the exposed tissue. Leaving it uncovered could increase the risk of infection.
B. Preventing cold stress is essential to maintain the infant's body temperature and reduce stress on the body.
C. Positioning the infant prone helps avoid pressure on the sac and prevents injury.
D. Encouraging parental interaction is beneficial for bonding and emotional support.
Correct Answer is B
Explanation
A. Applying lidocaine/prilocaine cream 10 minutes prior would not be sufficient; it generally requires 30–60 minutes to be effective.
B. Flexing the chin to the chest and knees to the abdomen is the correct positioning for an infant during a lumbar puncture.
C. Keeping an infant NPO for 6 hours is unnecessary before a lumbar puncture.
D. Placing the infant in an infant seat post-procedure is not required; flat positioning is generally advised.
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