Author Question: Which statement made by a parent during a well-child visit would cause the nurse to suspect the ... (Read 57 times)

madam-professor · **on:** Jun 28, 2018

Which statement made by a parent during a well-child visit would cause the nurse to suspect the child has cerebral palsy?

1. My 6-month-old baby is rolling from back to prone now.
2. My 3-month-old seems to have floppy muscle tone.
3. My 8-month-old can sit without support.
4. My 10-month-old is not walking.

Question 2

Which nursing intervention is most appropriate when caring for an infant with a myelomeningocele in the preoperative stage?

1. Placing infant supine to decrease pressure on the sac
2. Appling a heat lamp to facilitate drying and toughening of the sac
3. Measuring head circumference every shift to identify developing hydrocephalus
4. Appling a diaper to prevent contamination of the sac

yahahah24021 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 2
Rationale: Children with cerebral palsy are delayed in meeting developmental milestones. The infant with hypotonia is showing a clinical manifestation of cerebral palsy. A baby rolls over from back to prone at 6 months, sits without support at 8 months, and walks at 12 months.

Answer to Question 2

Correct Answer: 3
Rationale: The infant should be monitored for developing hydrocephalus, so the head circumference should be monitored daily. The infant will be placed prone, not supine, and the defect will be protected from trauma or infection. Therefore, applying heat and a diaper around the defect would not be recommended. A sterile saline dressing may be used to cover the sac to maintain integrity.