1. A 7-year-
6
1
old child with cerebral palsy who
6 6 6 6 6
6wears leg braces has a slight se
6 6 6 6 6 6
rationale:
nsory loss in the lower extremiti
6 6 6 6 6
When sensory perception is impaire 6 6 6 6
es. What is the most es-
6 6 6 6 6
d, with resultant lack of effective sp
6 6 6 6 6 6
6sential information for the nurse
6 6 6 6
ecific motor responses, the child will
6 6 6 6 6
6to teach the child and parents?
6 6 6 6 6
6be more vulnerable to skin irritation
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1. Examine the skin for evidence 6 6 6 6 6
6and trauma. Although it is importan
6 6 6 6 6
of pressure points.
6 6
t for the braces to be usable and wel
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2. Keep the braces in good repair
6 6 6 6 6
l padded, the skin must be assessed
6 6 6 6 6 6 6
6and pad them well.
6 6 6
daily when there is a sen- 6 6 6 6 6
3. Select shoes that have heels 6 6 6 6 6
6sory loss. Pressure may still occur e
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that are wide and low.
6 6 6 6
ven if the braces are well padded. Al
6 6 6 6 6 6 6
4. Check that the brace joints are 6 6 6 6 6
though this type of shoe will facilitat 6 6 6 6 6 6
6aligned with body joints. 6 6 6
e balance, assessing the skin for bre
6 6 6 6 6 6
akdown is the priority. Although alig 6 6 6 6 6
nment of brace joints to body joints i 6 6 6 6 6 6 6
s important in facilitating joint mobil
6 6 6 6 6
ity, assessment for skin break-
6 6 6 6
down takes priority.
2. What safety instruction should a
6 6 6
6 6 6 6
6nurse teach a 10-year- 6 6 6
1
old child with diminished sensat
6 6 6 6
ion in the legs because of cerebr
6 6 6 6 6 6
rationale:
al palsy?
6
Individuals whose thermoreceptive 6 6 6
1.Test the temperature of the wa-
6 6 6 6 6
sens-
6ter before a bath.
6 6 6
6es are impaired are unable to detec
6 6 6 6 6 6
2. Tighten brace straps securely 6 6 6
t changes or degrees of temperatur
6 6 6 6 6
6before ambulating. 6
e. They must be taught to first test t
3. Set the clock twice during the
6 6 6 6 6 6 6 6
he tempera- ture in any water-
6 6 6 6 6 6
night to change position.
6 6 6 6 6
related activity to pre-
6 6 6
4. Look down at the legs when
6 6 6
vent scalding and burning. Overtigh
6 6 6 6 6 6
crutch-
6 6 6 6 6
ten-
walking to check how they are
ing of brace straps may lead to circu
6 6 6 6 6 6
positioned.
6 6 6 6 6 6 6 6
la-
6tory impairment or skin breakdown.
6 6 6 6
6The child with cerebral palsy has un
6 6 6 6 6 6
controlled movement of voluntary m 6 6 6 6
uscles and does not need to change 6 6 6 6 6 6 6
16/6
15
, Exam 1: Cerebral Palsy Questions
6 6 6 6
Study6online6at6https://quizlet.com/_8e0bgs
positions at night to prevent skin
6 6 6 6 6 6
breakdown. Looking down at the l 6 6 6 6 6
egs when crutch-
6 6
walking is danger- 6 6
ous because this action alters the
6 6 6 6 6 6
center of gravity; with practice th
6 6 6 6 6 6
e child will be able to place the leg
6 6 6 6 6 6 6 6
s in the appropriate position for w
6 6 6 6 6 6
alking without looking down.
6 6 6
26/6
15
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