Author Question: A 3-year boy is diagnosed with Duchenne muscular dystrophy following several noticeable ... (Read 72 times)

penguins · **on:** Jul 16, 2018

A 3-year boy is diagnosed with Duchenne muscular dystrophy following several noticeable developmental delays. The child appears to waddle and a positive Gower's sign is exhibited. What occurs when this sign is documented?

A) The child walks on his toes.
B) The child falls to one side while hopping.
C) The child uses upper extremity muscles to compensate for weak hip muscles.
D) The child has a scissor-like gait and crosses one foot in front of the other to walk.

Question 2

A nurse graduates with an LPN degree and is seeking employment. Which of the following settings would be the best choice for a first job?

A) Home healthcare
B) Hospital
C) School nursing
D) Parish nursing

gstein359 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

C
Feedback:
Symptoms of Duchenne muscular dystrophy begin to appear around the age of 3 years. Before this, the child may have noticeable developmental delays. The child's gait appears as a waddle and a positive Gower's sign occurs. A positive Gower's sign is exhibited when the child needs to use the upper extremity muscles to compensate for weak hip muscles. The child also may walk on the toes, fall frequently, and have difficulty hopping or running, but these are not the Gower's sign. With cerebral palsy, the child has a scissor-like gait.

Answer to Question 2

B
Feedback:
Although there are many opportunities for new nurses, it is important that they be able to have the experience in which they can apply basic nursing skills and knowledge. A hospital setting is best for gaining experience in all areas of nursing.