A nurse is teaching the parents of an infant with cerebral palsy on how to provide optimal care. What should the nurse include in the teaching?
Continue to offer a special formula to limit gagging
Maintain immobility of the limbs with splints
Preserve muscle tone to prevent joint contractures
Focus on cognitive rather than motor skills.
The Correct Answer is C
A. Continuing to offer a special formula to limit gagging is not a standard approach in the care of infants with cerebral palsy. The choice of formula should be based on the child's nutritional needs, and any feeding difficulties should be addressed by a healthcare professional.
B. Maintaining immobility of the limbs with splints is not recommended. Encouraging movement and mobility is important for the development and well-being of children with cerebral palsy.
C. Preserve muscle tone to prevent joint contractures.
Cerebral palsy is a condition that can lead to problems with muscle tone and movement. Preserving muscle tone is important to prevent joint contractures, which can limit mobility and cause pain. Physical therapy and exercises can help maintain muscle tone and joint flexibility in children with cerebral palsy.
D. Focusing on cognitive rather than motor skills is not appropriate. Motor skills are a crucial aspect of development for children with cerebral palsy. The approach should encompass both cognitive and motor skill development as appropriate for the child's age and abilities.
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Related Questions
Correct Answer is C
Explanation
A. Identity versus role confusion is typically associated with adolescence.
B. Autonomy versus a sense of shame and doubt is associated with the toddler years.
C. Initiative versus guilt.
Erikson's theory of psychosocial development includes various stages, and each stage corresponds to a specific age range and a unique psychosocial challenge. The preschool age group, typically from around 3 to 6 years old, is associated with the stage of "Initiative versus guilt." During this stage, children begin to explore their environment, take on new challenges, and start to develop a sense of initiative. They seek to make choices, set goals, and make plans, which is a crucial aspect of their development during the preschool years. However, if their efforts are met with excessive criticism or control, they may develop feelings of guilt.
D. Trust versus mistrust is associated with infancy.
Correct Answer is C
Explanation
In transposition of the great vessels (TGV), the aorta and the pulmonary artery are switched, causing oxygen-rich blood to be pumped back to the lungs and oxygen-poor blood to be pumped out to the body. The ductus arteriosus, a fetal blood vessel that normally closes shortly after birth, allows blood to mix between the two circulations.
Prostaglandin E1 is used to keep the ductus arteriosus open, allowing for a controlled mixing of oxygenated and deoxygenated blood, which can improve oxygen delivery to the body in cases of TGV. This helps maintain oxygenation until corrective surgical interventions can be performed.
The other options, A (decrease pulmonary congestion), B (stimulate the production of red blood cells), and D (increase blood flow to the system), do not accurately describe the primary purpose of Prostaglandin E1 in the context of TGV. The main goal is to maintain a pathway for oxygenated blood to mix with deoxygenated blood to improve oxygen delivery to the body.
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