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
What type of cerebral palsy (CP) is the most common type?
Correct Answer: B
Rationale: Spastic CP, marked by initial hypotonia transitioning to hypertonicity, is the most common type. Ataxic, dyskinetic, and mixed types are less frequent, with spastic CP showing increased stretch reflexes and weakness.
Question 2 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 3 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 4 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 5 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.