A 3-year-old is diagnosed with spastic cerebral palsy. What information should the nurse include in the discharge teaching?

"Activities will be modified to match the child's developmental age, not chronological age."

"Long-term corticosteroids will relieve exacerbations of this disorder."

"This disease causes progressive skeletal muscle degeneration."

"Prenatal screening is indicated for future pregnancies to predict similar risks."

Answer and Explanation

The Correct Answer is A

A. Activities should be tailored to the child’s developmental level, as children with spastic cerebral palsy may have delays in reaching developmental milestones.

B. Corticosteroids are not typically used for cerebral palsy, as it is a non-progressive condition affecting motor function, not an inflammatory condition.

C. Cerebral palsy is non-progressive, meaning it does not worsen over time, though the muscle tightness (spasticity) may change as the child grows.

D. While prenatal screening can detect certain risk factors, it cannot predict the occurrence of cerebral palsy with certainty.

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Correct Answer is A

Explanation

A. If NSAIDs (nonsteroidal anti-inflammatory drugs) are ineffective in managing symptoms of JIA, the healthcare provider needs to be notified as other treatments, such as disease-modifying antirheumatic drugs (DMARDs) or biologics, may be necessary.

B. Warm compresses, rather than cool compresses, are typically recommended to relieve joint pain and stiffness in JIA.

C. While rest is important, excessive napping can lead to stiffness and decreased mobility. Regular, gentle activity is encouraged to maintain joint function.

D. High-impact exercises like running may be too strenuous for children with JIA and can exacerbate joint pain. Low-impact activities such as swimming or cycling are generally recommended to promote range of motion without putting undue stress on the joints.

A. Partial to complete paralysis in the lower extremities B. Unilateral port-wine birthmark C. A protruding sac containing abdominal contents D. A fusion of cranial suture lines

Correct Answer is A

Explanation

A. Myelomeningocele is a type of spina bifida where there is a protrusion of the meninges and spinal cord through a defect in the vertebrae. This condition can result in partial to complete paralysis in the lower extremities due to the involvement of the spinal cord.

B. A unilateral port-wine birthmark is typically associated with conditions like Sturge-Weber syndrome, not myelomeningocele.

C. A protruding sac containing abdominal contents is characteristic of omphalocele, not myelomeningocele.

D. Fusion of cranial suture lines is not associated with myelomeningocele but rather with craniosynostosis.

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A 3-year-old is diagnosed with spastic cerebral palsy. What information should the nurse include in the discharge teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a parent and their school-age child who has juvenile idiopathic arthritis (JIA). What should the nurse include in the discharge instructions to the family?

Correct Answer is A

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Correct Answer is A

Explanation

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