Author Question: The nurse is preparing to admit a 2-year-old child with spina bifida occulta. What clinical ... (Read 38 times)

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

The nurse is preparing to admit a 2-year-old child with spina bifida occulta. What clinical manifestations of spina bifida occulta should the nurse expect to observe? (Select all that apply.)

a. Dark tufts of hair
b. Skin depression or dimple
c. Port-wine angiomatous nevi
d. Soft, subcutaneous lipomas
e. Bladder and sphincter paralysis

Question 2

The nurse is preparing to admit a 7-year-old child with ataxic cerebral palsy. What clinical manifestations of ataxic cerebral palsy should the nurse expect to observe? (Select all that apply.)

a. Wide-based gait
b. Rapid, repetitive movements performed poorly
c. Slow, twisting movements of the trunk or extremities
d. Hypertonicity with poor control of posture, balance, and coordinated motion
e. Disintegration of movements of the upper extremities when the child reaches for objects

ally · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, B, C, D
Clinical manifestations of spina bifida occulta include dark tufts of hair; skin depression or dimple; port-wine angiomatous nevi; and soft, subcutaneous lipomas. Bladder and sphincter paralysis are present with spina bifida cystica but not occulta.

Answer to Question 2

ANS: A, B, E
Clinical manifestations of ataxic cerebral palsy include a wide-based gait; rapid, repetitive movements performed poorly; and disintegration of movements of the upper extremities when the child reaches for objects. Slow, twisting movements of the trunk are seen with dyskinetic cerebral palsy, and hypertonicity with poor control of posture, balance, and coordinated motion are seen with spastic cerebral palsy.