An 8-year-old girl with moderate cerebral palsy (CP) recently ...

[lilldybug07]

An 8-year-old girl with moderate cerebral palsy (CP) recently began joining a regular classroom for part of the day. Her mother asks the school nurse about joining the after-school Girl Scout troop. The nurse's response should be based on which knowledge?
 
  a. Most activities such as Girl Scouts cannot be adapted for children with CP.
  b. After-school activities usually result in extreme fatigue for children with CP.
  c. Trying to participate in activities such as Girl Scouts leads to lowered self-esteem in children with CP.
  d. Recreational activities often provide children with CP with opportunities for socialization and recreation.

Question 2

The parents of a newborn ask the nurse what caused the baby's facial nerve paralysis. The nurse's response is based on remembering that this is caused by what?
 
  a. Birth injury
  b. Genetic defect
  c. Spinal cord injury
  d. Inborn error of metabolism

[AISCAMPING]

Answer to Question 1

ANS: D
After-school and recreational activities serve to stimulate children's interest and curiosity. They help the children adjust to their disability, improve their functional ability, and build self-esteem. Increasing numbers of programs are adapted for children with physical limitations. Almost all activities can be adapted. The child should participate to her level of energy. Self-esteem increases as a result of the positive feedback the child receives from participation.

Answer to Question 2

ANS: A
Pressure on the facial nerve (cranial nerve VII) during delivery may result in injury to the nerve. Genetic defects, spinal cord injuries, and inborn errors of metabolism did not cause the facial nerve paralysis. The paralysis usually disappears in a few days but may take as long as several months.