A child with cerebral palsy (CP) is taking baclofen, a relaxant. Which assessment finding indicates to the practical nurse (PN) that the drug is eﬀective?

Increased appetite.

Sufficient urinary output.

Fewer temper outbursts.

Decreased muscular spasticity.

Answer and Explanation

The Correct Answer is A

Baclofen is a muscle relaxant that can help relieve muscle spasms and manage conditions such as cerebral palsy¹. An assessment finding that indicates the drug is eﬀective for a child with cerebral palsy would be decreased muscular spasticity. This means that the child's muscles are less stiﬀ and rigid, which can improve their mobility and overall quality of life.

The other choices are incorrect because they are not directly related to the therapeutic eﬀects of baclofen. Baclofen is a muscle relaxant that is used to relieve muscle spasms and stiﬀness. While it may have other eﬀects on the body, its primary therapeutic eﬀect is to decrease muscular spasticity.

Increased appetite is not a known eﬀect of baclofen.
Sufficient urinary output is important for overall health, but it is not directly related to the eﬀectiveness of baclofen.
Fewer temper outbursts may be an indirect result of decreased muscular spasticity and improved mobility, but it is not a direct eﬀect of baclofen.

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Correct Answer is A

Explanation

Explanation: Acute otitis media is a common childhood illness that refers to an infection of the middle ear. It occurs when the Eustachian tube, which connects the middle ear to the back of the throat, becomes blocked and ﬂuid accumulates in the middle ear. This ﬂuid provides a breeding ground for bacteria, leading to infection and inﬂammation. Symptoms of acute otitis media can include ear pain, fever, irritability, and difficulty hearing. It is important for the PN to provide accurate information to the mother and to explain the treatment plan, which may include antibiotics and pain relief measures, as prescribed by the healthcare provider.

A. Low birth weight. B. Preterm birth. C. Cleft palate. D. Macrosomic newborn.

Correct Answer is D

Explanation

Gestational diabetes mellitus (GDM) is a type of diabetes that occurs during pregnancy. If euglycemia, or normal blood glucose levels, is not maintained during pregnancy, the fetus can be at risk for a number of complications. The greatest risk to the fetus in this situation is the development of a macrosomic newborn, or a newborn that is significantly larger than average. This occurs because the excess glucose in the mother's bloodstream is passed on to the fetus, leading to excessive fetal growth.

Macrosomia can lead to complications during delivery, such as shoulder dystocia, and can increase the risk of injury to both the mother and the baby. While low birth weight and preterm birth are also potential complications of GDM, macrosomia is considered the greatest risk to the fetus if euglycemia is not maintained. Cleft palate is not typically associated with GDM.

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A child with cerebral palsy (CP) is taking baclofen, a relaxant. Which assessment finding indicates to the practical nurse (PN) that the drug is eﬀective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The mother of a 3-year-old asks the practical nurse (PN) to clarify the healthcare provider's diagnosis of acute otitis media. Which is the most accurate explanation?

Correct Answer is A

Explanation

The practical nurse (PN) is caring for a client who has been diagnosed with gestational diabetes mellitus. Which complication should the PN recognize as the greatest risk to the fetus if euglycemia is not maintained?

Correct Answer is D

Explanation

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