ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 30 : The Child with Neuromuscular or Muscular Dysfunction Questions
Question 1 of 5
A 14-year-old girl is in the intensive care unit after a spinal cord injury 2 days ago. What nursing intervention is a priority for this child?
Correct Answer: C
Rationale: Monitoring and maintaining blood pressure is critical in spinal cord injury due to physiologic lability and risks like autonomic dysreflexia. Stimuli minimization and immunoglobulin aren?t needed, and long-term care discussions are premature during acute stabilization.
Question 2 of 5
What functional ability should the nurse expect in a child with a spinal cord lesion at C7?
Correct Answer: D
Rationale: A C7 spinal cord lesion allows significant independence with wheelchair use, with some assistance for transfers and dressing. Respiratory paralysis occurs at C3 or higher, upper extremity function is preserved, and rolling over or sitting is possible.
Question 3 of 5
An adolescent with a spinal cord injury is admitted to a rehabilitation center. Her parents describe her as being angry, hostile, and uncooperative. The nurse should recognize that this is suggestive of which psychosocial state?
Correct Answer: C
Rationale: Anger, hostility, and uncooperativeness in a spinal cord injury adolescent reflect a normal response to disrupted independence, which can be redirected positively during rehabilitation. This isn?t typical adolescent behavior, severe depression, or denial, but an adaptive phase.
Question 4 of 5
What statement best describes Duchenne (pseudohypertrophic) muscular dystrophy (DMD)?
Correct Answer: C
Rationale: DMD features Gower sign, waddling gait, and lordosis due to progressive muscle weakness starting at ages 3-5. It?s X-linked recessive, not autosomal dominant, and relentlessly progresses, leading to death by respiratory or cardiac failure, not stabilization.
Question 5 of 5
The nurse is preparing a staff education in-service session for a group of new graduate nurses who will be working in a long-term care facility for children; many of the children have cerebral palsy (CP). What statement should the nurse include in the training?
Correct Answer: B
Rationale: Spastic pyramidal CP is characterized by a positive Babinski sign and ankle clonus due to hypertonicity. Dyskinetic CP involves oral muscles and dysarthria, hemiplegia affects one side with upper limbs more impacted, and ataxic CP features a wide-based gait.