BSN 3094 Test 1 | Answered with Rationales Which education would the nurse provide the parents of an infant with cerebral palsy to support setting care goals? 1. Cognitive impairment requires special education 2. progressive deterioration requires future institutionalization 3. the unknown extent...
Which education would the nurse provide the parents of an infant with cerebral palsy to
support setting care goals?
1. Cognitive impairment requires special education
2. progressive deterioration requires future institutionalization
3. the unknown extent of the disability requires continual adjustments
4. diminished immune responses require protection from infection
Infants too young for specific long term plans, care planning should incorporate the plan
to continually reevaluate care plans because different needs may manifest as a child
grows
Which parental statements would the nurse recognize as signs that an infant may need
to be evaluated for cerebral palsy (select all that apply)
1. My baby doesn't make eye contact
2. My baby seems to have a voracious appetite
3.My baby was able to turn from front to back by 2 months of age
4. I've noticed that this baby clings to me more than other children of the same age
5. All of my other children were sitting alone by this age. This baby doesn't seem to be
anywhere near sitting alone
An infant that furns from front to back at an early age will often be found to have spastic
cerebral palsy, its the spasticity that causes an unintentional turn form back to front.
Cerebral pasly is a neurologic problem commonly recognized when the child fails to
meet developmental norms.
A community health nurse makes a home visit to a disabled 13 year old client who has
a 6 month of infant sister. The infant lies quietly in her crib and rarely smiles or
vocalizes; it appears that she barely meets her basic needs. Which is the nurse's most
appropriate action.
1. advise the parents that the infant will be delated developmentally if not stimulated
2. Ask the disabled client to spend more time playing with the sister
3. encourage purchasing toys that are appropriate for the infants age level
4. Determine whether there is anyone who can help with chores and the infants care
A toddler presents in the emergency department with an infected wound. The child's
mother states, "I don't have time to take care of this." A review of the child's medical
record indicates that each appointment related to the wound was cancelled. Which
would the nurse suspect based on the current data?
Physical neglect involves the deprivation of necessitates such as food, clothing shelter
supervision, medical care and education.
The nurse plans to teach daily living activities to a developmentally disabled 3-year-old
child. Which activity would the nurse plan to teach the child first?
According to principles of growth and the development of skills, feeding is taught first.
Which parent education would the nurse provide the parents caring for their infant with
cerebral palsy
1. Focus on cognitive rather than motor skills
2. Maintain immobility of the limbs with splints
3. preserve muscle tone to prevent joint contractures
4. Continue to offer a special formula to limit gagging
Children with cerebral palsy are especially prone to muscle tone disorder including
spasticity, which can lead to joint contractures. The therapy program must be balanced
to promote progress in all areas of growth and development
The nurse anticipates that the family of a child with cerebral palsy is at risk for difficult
parenting issues. Which would the nurse conclude is the probably basis of this difficulty.
1. Lack of social support
2. Unrealistic expectations
3. Loss of the expected healthy child
4. Having a child with cognitive impairments
All parents initially grieve over the loss of a healthy child, what could have been and
what may never be.
Which would the nurse determine before preparing a child with cerebral palsy for crutch
walking?
1. Weight-bearing ability of the child's four extremities
2. The power in the child's trunk to drag the forward when the child is erect
, 3. Whether the child's circulation can tolerate the body being placed in an erect position
4. The ability of the child's shoulder girdle to support the body's weight when it leaves
the floor
The choice of gait based on the weight bearing capabilities of each of the four
extremities. Assessment of extremities takes priority over the assessment of the trunk.
The child with CP uses upper extremity strength for crutch control and lower extremity
strength to facilitate some movement
Which characteristic is most common to those living in poverty?
1. Open expression of anger
2. long-term feeling of powerlessness
3. Willingness to postpone gratification
4. Compliance with the health recommendations
People living in poverty feel powerless because they do not have the buying power or
social status to effect change.
Which statement of the client would the nurse consider to be a self-esteem need based
on Maslow's hierarchy of needs?
1. I cannot contact my family because I eloped from home to get married
2. If I don't comply with my husbands demands, I might not have anywhere to live
3. My husband hurts me sometimes when I’m not able to live up to his expectations
4. I deserve ill treatment from my husband because I'm incapable of doing even simple
things perfectly
Which statement made by the client meets the self-actualization need based on
Maslow’s hierarchy of needs?
1. I need help because I am having trouble breathing properly
2. I cannot afford health care because I am homeless
3. People always tend to criticize me, even when I do something good
4. I want to live because I want to be a good parent to my kids
Which situation belongs to the first level of needs according to Maslow’s hierarchy (
select all that apply)
1. A client is homeless
2. A client reports feeling dizzy for 2 days
3. A client state that he or she is beaten up repeatedly by a neighbor
4. A client reports that he or she is unable to consume food because of throat pain
5. An amputee informs the nurse he or she will walk one day
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