Author Question: What functional ability should the nurse expect in a child with a spinal cord lesion at C7? a. ... (Read 33 times)

urbanoutfitters · **on:** Jun 28, 2018

What functional ability should the nurse expect in a child with a spinal cord lesion at C7?

a. Complete respiratory paralysis
b. No voluntary function of upper extremities
c. Inability to roll over or attain sitting position
d. Almost complete independence within limitations of wheelchair

Question 2

The nurse is preparing a staff education in-service session for a group of new graduate nurses who will be working in a long-term care facility for children; many of the children have cerebral palsy (CP).

What statement should the nurse include in the training?
a. Children with dyskinetic CP have a wide-based gait and repetitive movements.
b. Children with spastic pyramidal CP have a positive Babinski sign and ankle clonus.
c. Children with hemiplegia CP have mouth muscles and one lower limb affected.
d. Children with ataxic CP have involvement of pharyngeal and oral muscles with dysarthria.

Sophiapenny · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
Individuals who sustain injuries at the C7 level are able to achieve a significant level of independence. Some assistance is needed with transfers and lower extremity dressing. Patients are able to roll over in bed and to sit and eat independently. Patients with injuries at C3 or higher have complete respiratory paralysis. Those with injuries at C4 or higher do not have voluntary function of higher extremities. Injuries at C5 or higher prevent rolling over or sitting.

Answer to Question 2

ANS: B
CP has a variety of clinical classifications. Spastic pyramidal CP includes manifestations such as a positive Babinski sign and ankle clonus; ataxic CP has a wide-based gait and repetitive movements; hemiplegia CP is characterized by motor dysfunction on one side of the body with upper extremity more affected than lower limbs; and dyskinetic CP involves the pharyngeal and oral muscles, causing drooling and dysarthria.