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 parents of an infant with cerebral palsy (CP) ask the nurse if their child will have cognitive impairment. The nurses response should be based on which knowledge?
Correct Answer: C
Rationale: Approximately 40% to 50% of children with CP have normal intelligence, with a wide range of cognitive outcomes. Severe physical impairment does not necessarily correlate with cognitive deficits, and many have minimal intellectual compromise.
Question 2 of 5
Gingivitis is a common problem in children with cerebral palsy (CP). What preventive measure should be included in the plan of care?
Correct Answer: B
Rationale: Meticulous dental hygiene prevents gingivitis in CP, countering enamel defects, high-carbohydrate diets, and spasticity-related oral care challenges. Fluoride use is encouraged, and medications like phenytoin may require hygiene adjustments, not avoidance.
Question 3 of 5
What is a major goal of therapy for children with cerebral palsy (CP)?
Correct Answer: D
Rationale: Early recognition and promoting optimal development are key CP therapy goals, maximizing potential within physical limits. CP is permanent, not curable or reversible, and is not contagious.
Question 4 of 5
The parents of a child with spastic cerebral palsy (CP) state that their child seems to have significant pain. In addition to systemic pharmacologic management, the nurse includes which teaching?
Correct Answer: B
Rationale: Teaching positions to reduce spasticity, such as specific sitting or lying postures, helps manage pain in spastic CP. Patterning is ineffective, stretching requires prior analgesia, and topical analgesics are not effective for CP spasms.
Question 5 of 5
A child, age 3 years, has cerebral palsy (CP) and is hospitalized for orthopedic surgery. His mother says he has difficulty swallowing and cannot hold a utensil to feed himself. He is slightly underweight for his height. What is the most appropriate nursing action related to feeding this child?
Correct Answer: B
Rationale: Stabilizing the jaw from the front or side improves swallowing control in CP, addressing compromised jaw function. Bottle or tube feeding doesn?t address jaw issues, and semireclining or hyperextended positions increase aspiration risk.