Author Question: A nine-month-old who is not sitting independently has been diagnosed with ataxic cerebral palsy ... (Read 118 times)

asd123 · **on:** Jun 28, 2018

A nine-month-old who is not sitting independently has been diagnosed with ataxic cerebral palsy (CP). Which clinical manifestations would the nurse expect to see in the baby?

1. Hypotonia and muscle instability
2. Hypertonia and persistence primitive reflexes
3. Tremors and exaggerated posturing
4. Hemiplegia and hypertonia

Question 2

The child is receiving chemotherapy for acute lymphocytic leukemia. The nurse recognizes that a potential oncological emergency for this child would be tumor lysis syndrome. For which of the following symptoms should the nurse monitor this child?

1. Thrombocytopenia and leukocytosis
2. Oliguria and altered levels of consciousness
3. Respiratory distress and cyanosis
4. Upper-extremity edema and neck vein distension

vseab · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

1
Rationale 1: Hypotonia in infancy and muscle instability are seen in ataxic cerebral palsy.
Rationale 2: Hypertonia and persistent primitive reflexes are seen in spastic CP.
Rationale 3: Tremors and exaggerated posturing are seen in dyskinetic cerebral palsy.
Rationale 4: Hemiplegia and hypertonia are seen in spastic cerebral palsy.
Global

Answer to Question 2

2
Rationale:
1. Thrombocytopenia and leukocytosis occur with a hematological emergency.
2. Tumor lysis causes a metabolic emergency. Because of electrolyte imbalance, the signs can be oliguria and altered levels of consciousness. Thrombocytopenia and leukocytosis occur with a hematological emergency.
3. Respiratory distress and cyanosis would be associated with space-occupying lesions or a hematologic emergency.
4. Upper-extremity edema and neck vein distension are not priority concerns for this client.