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
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 2 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 3 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.
Question 4 of 5
A recommendation to prevent neural tube defects (NTDs) is the supplementation of what?
Correct Answer: B
Rationale: Folic acid supplementation for women of childbearing age, especially preconceptionally, reduces NTD incidence significantly, as defects occur early (3-5 weeks). Vitamin A is unrelated, and supplementation only during pregnancy or with multivitamins is less effective.
Question 5 of 5
The nurse is caring for a family whose infant was just born with anencephaly. What is the most important nursing intervention?
Correct Answer: B
Rationale: Anencephaly, a fatal neural tube defect, requires nursing support to help families cope with grief and provide comfort measures for the infant, who may survive briefly. Attachment is encouraged but secondary, no surgical options exist, and general support is less specific.