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
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 2 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 3 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.
Question 4 of 5
The nurse should suspect a child has cerebral palsy (CP) if the parent says what?
Correct Answer: B
Rationale: A 4-month-old not lifting their head when prone indicates a gross motor delay, a hallmark of CP, as this skill is expected by 0-3 months. Rolling at 6 months, sitting at 8 months, and not walking at 10 months are within normal developmental ranges.
Question 5 of 5
The nurse is caring for a 4-year-old child with cerebral palsy (CP). The child, developmentally, is at an infant stage. Appropriate developmental stimulation for this child should be what?
Correct Answer: C
Rationale: A colorful mobile with music provides sensory stimulation appropriate for an infant developmental stage, supporting sensory input needs in CP. Pat-a-cake and coloring are too advanced, and avoiding stimulation neglects developmental needs.