A mother reports that her child has episodes where he appears to be staring into space. This behaviour is characteristic of which type of seizure?
Atonic
Absence
Simple partial
Tonic-clonic
The Correct Answer is B
The behaviour described, where the child appears to be staring into space, is characteristic of
B. Absence seizures.
Absence seizures, also known as petit mal seizures, are a type of generalized seizure that primarily affects children. These seizures are brief and usually last for a few seconds. During an absence seizure, the child may appear to be staring blankly into space, unaware of their surroundings. They may not respond to stimuli or engage in any purposeful activity.After the seizure ends, the child typically resumes their previous activity without any memory of the seizure.
Atonic seizures in (option A) is incorrect because it involves a sudden loss of muscle tone, leading to a limp or "drop"in the person.
Simple partial seizures in (option C) are focal seizures that affect a specific region of the brain, causing localizedsymptoms such as twitching or tingling in a particular body part.
Tonic-clonic seizures in (option D) also known as grand mal seizures, is incorrect because it involves a combination of muscle rigidity (tonic phase) and jerking movements (clonic phase).
Therefore, based on the description provided, the behaviour of staring into space is characteristic of B. Absence seizures. It is important for the child to be evaluated by a healthcare professional for an accurate diagnosis and appropriate management of their seizures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The scenario describes a 14-year-old male who seems to be always eating, but his weight is appropriate for his height. In this case, it is important to reassure the parents that the behaviour may not necessarily be a cause for concern.
Option A provides an accurate response by explaining that for weight gain to occur, the individual would need to consume an excessive number of calories. Since the adolescent's weight is appropriate for his height, it suggests that his caloric intake is likely balanced and not excessive.
suggesting that he is substituting food for unfilled needs in (option B) is incorrect because it, is speculative and may not be accurate without further assessment or evidence. It is important to avoid making assumptions about underlying psychological or emotional reasons for increased eating without more information.
stating that this is normal due to an increase in body mass during this time in (option C) is incorrect because it, is not necessarily applicable to the scenario. While it is true that adolescents experience growth and changes in body composition during this period, it does not directly explain the constant eating behaviour described.
suggesting that this behaviour is abnormal and indicative of possible future obesity in (option D) is incorrect because it, may be premature and unsupported based solely on the information provided. It is essential to avoid making predictions or assumptions about future health outcomes without proper evaluation.
By providing the parents with information about the caloric intake required for weight gain and reassuring them that their son's eating behaviour may be within a normal range, the nurse can address their concerns and provide accurate guidance. If the parents have further concerned or questions, it may be appropriate to refer them to a healthcare provider for a more comprehensive assessment.
Correct Answer is C
Explanation
Hydrocephalus refers to a condition characterized by an abnormal accumulation ofcerebrospinal fluid (CSF) within the ventricles of the brain. In infants, hydrocephalus cancause the head to enlarge rapidly as a result of the increased pressure exerted by theaccumulatingfluid.Thisisknownas"rapidheadgrowth."Theincreasedintracranialpressurecanlead to irritabilityand poorappetite in infants.
The distended scalp veins are another common sign of hydrocephalus. As the fluidaccumulates,itputs pressureon thebloodvessels inthe brain,causingtheveinsin thescalptobecome morevisible and distended.
Cerebral palsy in (option A) is incorrect because is a neurological disorder that affects bodymovementandmusclecoordination,butitdoesnottypicallypresentwithrapid headgrowthordistended scalp veins.
Syndrome of inappropriate antidiuretic hormone (SIADH) in (option B) is incorrect becauseitisacondition characterized byexcessivesecretionofantidiuretichormone,leadingtofluidimbalance, but it does not usually cause rapid head growth or distended scalp veins. Reye'ssyndrome (D) is a rare condition that primarily affects the liver and brain, and it does nottypicallypresent with rapid headgrowthor distended scalp veins.
Therefore, based on the signs described, hydrocephalus (C) is the most likely disorder in thiscase.Itisimportantto seekmedicalattentionpromptlyforaproperdiagnosisand appropriatemanagementofhydrocephalus in infants.
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