The nurse is caring for a 4-year-old child with cerebral palsy ...

[michelleunicorn]

The nurse is caring for a 4-year-old child with cerebral palsy (CP). The child, developmentally, is at an infant stage. Appropriate developmental stimulation for this child should be what?
 
  a. Playing pat-a-cake with the child
  b. None so the child does not become overstimulated
  c. Putting a colorful mobile with music on the bed
  d. Giving the child a coloring book and crayons

Question 2

An infant requires surgery for repair of a cleft lip. An important priority of the preoperative nursing care is which?
 
  a. Initiating discharge teaching
  b. Performing baseline physical and behavioral assessment
  c. Observing for allergic reactions to preoperative antibiotics
  d. Determining whether this defect exists in other family members

[mbcrismon]

Answer to Question 1

ANS: C
Incorporating play into the therapeutic program for a child with CP often requires great ingenuity and inventiveness from those involved in the child's care. Objects and toys are chosen for the child's developmental stage to provide needed sensory input using a variety of shapes, forms, and textures. Nurses can help parents integrate therapy into play activities in natural ways.

Answer to Question 2

ANS: B
It is essential to assess the infant before surgery to obtain a baseline. Postoperative changes can be identified and a determination can be made regarding pain or change in status. The parents are not ready for discharge teaching. Their focus is on the congenital defect and surgery. Although a remote possibility, allergic reactions rarely occur on the first dose. Determining whether this defect exists in other family members is an important part of the history but is not a priority before surgery.

[michelleunicorn]

TYSM

[marict]

Thanks for the timely response, appreciate it