Author Question: The nurse is concerned that a preschool-age child is demonstrating signs of Duchenne muscular ... (Read 76 times)

JMatthes · **on:** Jun 27, 2018

The nurse is concerned that a preschool-age child is demonstrating signs of Duchenne muscular dystrophy. What did the nurse assess in this child?

A) Gower sign
B) Facial weakness
C) Inability to whistle
D) Inadequate use of respiratory muscles

Question 2

The nurse is caring for families with vulnerable child syndrome. Which of the following situations would be most likely to predispose the family to this condition?

A) Having a postterm infant
B) Having an infant who is reluctant to feed properly
C) Having a child diagnosed with leukemia at age 10
D) Having a child with juvenile diabetes

dantucker · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback:
Children with Duchenne muscular dystrophy usually have a history of meeting motor milestones, but by about 3 years of age, symptoms are more acute and obvious. Rising from the floor is done by rolling onto the stomach and then pushing up to the knees. To stand, the hands are pressed against the ankles, knees, and thighs. This is Gower sign. Facial weakness and inability to whistle are manifestations of facioscapulohumeral muscular dystrophy. Inadequate use of respiratory muscles is a manifestation of congenital myotonic dystrophy.

Answer to Question 2

B
Feedback:
Vulnerable child syndrome is a clinical state in which the parents' reactions to a serious illness or event in the child's past continue to have long-term psychologically harmful effects on the child and parents for many years. Risk factors for the development of vulnerable child syndrome include preterm birth, congenital anomaly, newborn jaundice, handicapping condition, an accident or illness that the child was not expected to recover from, or crying or feeding problems in the first 5 years of life.