Which statements made by the parent indicate that appropriate care is being provided to a 4-year-old who has spastic type cerebral palsy? (Select All that Apply.)

I perform range of motion exercises every 4 hours to help prevent contractures

I make sure that I use toys and activities that are appropriate for my child's chronological age

I have utensils with large, padded handles to make it easier for my child to feed himself

I play games with my child every day to keep them as independent as possible

I give my child carbidopa so that he will stop drooling

Answer and Explanation

Correct Answer : A,C,D

A. I perform a range of motion exercises every 4 hours to help prevent contractures. This helps prevent the tightening of muscles and joints, reducing the risk of contractures common in spastic cerebral palsy.
B. I make sure that I use toys and activities that are appropriate for my child's chronological age. While important, this does not specifically address the care needs related to spastic cerebral palsy.
C. I have utensils with large, padded handles to make it easier for my child to feed himself. Adaptive utensils promote independence in self-care activities.
D. I play games with my child every day to keep them as independent as possible. Engaging in activities that promote independence and social interaction is beneficial for children with cerebral palsy.
E. I give my child carbidopa so that he will stop drooling. Medications like carbidopa are not typically used to manage drooling associated with cerebral palsy and are not a primary care measure.

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Correct Answer is C

Explanation

A. Implementing stress management workshops for employees in a workplace: This is an example of primary prevention, which aims to reduce the risk of mental health issues by promoting healthy behaviors and coping mechanisms.
B. Promoting mental health awareness and education in the community: This also falls under primary prevention, focusing on reducing the incidence of mental health issues through education and awareness.
C. Providing counseling and therapy to individuals with diagnosed mental health disorders: This represents tertiary prevention, which focuses on managing and mitigating the impact of existing mental health conditions to improve quality of life and prevent complications or deterioration.
D. Conducting mental health screenings in schools to identify students at risk for mental health issues: This is a form of secondary prevention, which involves early identification and intervention to prevent the progression of mental health issues.

A. Administer Oxytocin IV per MD orders B. Notify the healthcare provider C. Document the fundal height and consistency D. Massage the fundus until it firms

Correct Answer is D

Explanation

A. Administer Oxytocin IV per MD orders. This may be done after attempting fundal massage to help firm the uterus, but massage is the first step.
B. Notify the healthcare provider. This would be done if the fundus does not respond to massage or if excessive bleeding continues, but not before attempting to firm the fundus.
C. Document the fundal height and consistency. Documentation is important but should occur after addressing the immediate issue of a soft fundus to prevent hemorrhage.
D. Massage the fundus until it firms. The immediate action should be to massage the uterus to promote contraction and reduce bleeding. A soft, spongy uterus indicates uterine atony, which can lead to hemorrhage.

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Which statements made by the parent indicate that appropriate care is being provided to a 4-year-old who has spastic type cerebral palsy? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

A new student nurse is learning about Mental health. Which of the following should be stated as representation of a nursing intervention at the tertiary level of prevention in mental health?

Correct Answer is C

Explanation

A nurse is assessing the fundus of a postpartum patient one day after delivery and notes that the fundus is soft and spongy. Which is the first nursing intervention to preform?

Correct Answer is D

Explanation

What assessment finding would the nurse expect in an infant with coarctation of the aorta?

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