A 2monthold infant at risk for cerebral palsy CP d

Question 1 of 5

A 2-month-old infant at risk for cerebral palsy (CP) (due to extreme low birth weight and prematurity) is being cared for. The parents ask why a speech therapist is involved in his care. Select the nursbest response.

A. Your child is likely to have speech problems because of his early birth. Involving the speech therapist now will ensure vocalization at a developmentally appropriate age. B. The speech therapist will help with tongue and jaw movements to assist with babbling. C. The speech therapist will help with tongue and jaw movements to assist with feeding. D. Many members of the health-care team are involved in your childs care so that we will know if there are any unmet needs.

Correct Answer: C

Rationale: Assist with feeding is best, per CP care texts. Premature infants at CP risk often have oral-motor issues; speech therapy strengthens tongue/jaw for feeding, not babbling or speech at 2 months. Team involvement is vague. Cs focus makes itthe correct answer.

Question 2 of 5

When providing discharge teaching to the parents of a toddler who experienced a febrile seizure, the nurse recogniza need for clarification when the mother says:

A. My child will likely have another seizure. B. My childs 7-year-old brother is also at high risk for a febrile seizure. C. Ill give my child acetaminophen when ill to prevent the fever from rising too high too rapidly. D. Most children with febrile seizurdo not require seizure medicine.

Correct Answer: B

Rationale: 7-year-old at high risk needs clarification, per pediatric texts. Febrile seizuroccur in <5-year-olds; a 7-year-old is beyond risk. Recurrence , acetaminophen , and no medication are correct. Bs inaccuracy makes itthe correct answer.

Question 3 of 5

The parent of a child with neuroblastoma asks what the typical early signs and symptoms are. Select the nursbest answer.

A. Most children complain of abdominal fullness and difficulty urinating. B. Many children in the early stagof neuroblastoma have joint pain and walk with a limp. C. The signs and symptoms vary depending on where the tumor is located, but typical symptoms include weight loss, abdominal distention, and fatigue. D. The signs and symptoms are fairly consistent regardless of the tumors location and include fatigue, hunger, weight gain, and abdominal fullness.

Correct Answer: C

Rationale: Vary by location, typically weight loss, distention, fatigue is best, per oncology texts. Neuroblastomas site (e.g., abdomen) drivsymptoms; these are common. Fullness/urination and joint pain are specific; weight gain incorrect. Cs breadth makes itthe correct answer.

Question 4 of 5

While teaching the parents of a child with cerebral palsy (CP) about feeding and avoiding aspiration, the nurse reviews the plan. Which of the following should be questioned?

A. Place the food on the tip of the tongue. B. Place the child in an upright position during feedings. C. Feed the child soft and blended foods. D. Feed the child slowly.

Correct Answer: A

Rationale: Placing food on the tongue tip should be questioned, per CP feeding guidelines. It risks tongue thrust and aspiration; food should go mid-tongue or back. Upright , soft foods , and slow feeding reduce risk. As danger makes itthe correct answer.

Question 5 of 5

Which child requircontinued follow-up because of behaviors suspicious for cerebral palsy (CP)?

A. A 1-month-old who demonstratthe startle reflex when a loud noise is heard. B. A 6-month-old who consistently reachfor toys with the right hand. C. A 14-month-old who has not yet begun to walk. D. A 2-year-old who has not achieved bladder control during waking hours.

Correct Answer: B

Rationale: 6-month-old with hand preference needs follow-up, per CP screening. Persistent unilateral reaching may signal hemiplegia. Startle is normal; walking variable; bladder developmental. Bs sign makes itthe correct answer.

A 2-month-old infant at risk for cerebral palsy (CP) (due to extreme low birth weight and prematurity) is being cared for. The parents ask why a speech therapist is involved in his care. Select the nursbest response.

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