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6 Cards in this Set

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  • Back
A 6 month old infant does not smile, has poor head control, has a persistent Moro reflex, and often gags and chokes while eating. These findings are most suggestive of:
a) Hypotonia
b) Cerebral palsy
c) Spinal cord injury
d) Neonatal myasthenia gravis
Cerebral palsy
The parents of a child with cerebral palsy ask the nurse if any drugs can decrease their child's spasticity. The nurse's response should be based on which of the following?
a) Anticonvulsant medications are sometimes useful for controlling spasiticity
b) Medications that would be useful in reducing spasticity are too toxic for use with children
c) Many different medications can be highly effective in controlling spasticity
d) Implantation of a pump to deliver medication into the intrathecal space decreases spasticity
Implantation of a pump to deliver medication into the intrathecal space decreases spasticity
Which of the following clinical manifestations in an infant would be suggestive of spinal muscular atrophy (Werdnig-Hoffman disease)?
a) Hypertonicity
b) Lying in the frog position
c) Hyperactive deep tendon reflexes
d) Motor deficits on one side of body
Lying in the frog position
Therapeutic management of a child with tetanus includes the administration of which of the following?
a) Nonsteroidal antiinflammatory drugs (NSAIDs) to reduce inflammation
b) Muscle stimulants to counteract muscle weakness
c) Bronchodilators to prevent respiratory complications
d) Antibiotics to control bacterial proliferation at site of injury
Antibiotics to control bacterial proliferation at site of injury
An adolescent has sustained a spinal cord injury. The first stage, known as spinal shock syndrome, is characterized by:
a) Increasing spasticity
b) Spinal reflex activity
c) Symptoms of hypertension
d) Flaccid paralysis below level of damage
Flaccid paralysis below level of damage
A young boy has just been diagnosed with pseudohypertrophic (Duchenne) muscular dystrophy. His care should include which of the following?
a) Recommend genetic counseling
b) Explain that the disease is easily treated
c) Suggest ways to limit use of muscles
d) Assist family in finding a nursing facility to provide his care
Recommend genetic counseling