What are the different types of Cerebral Palsy? (Select All that Apply.).
Hypertonic
Spastic
Hypotonic
Ataxic
Mixed
Correct Answer : B,C,D,E
Choice A reason:
Hypertonic is not a type of cerebral palsy, but a term that describes increased muscle tone or stiffness. Hypertonicity can be a symptom of spastic cerebral palsy, which is the most common type of the disorder.
Choice B reason:
Spastic is a type of cerebral palsy that affects about 80% of people with the disorder. People with spastic cerebral palsy have stiff and jerky movements due to increased muscle tone.
Spastic cerebral palsy can be further classified by the body parts affected, such as spastic hemiplegia, spastic diplegia or spastic quadriplegia.
Choice C reason:
Hypotonic is a type of cerebral palsy that affects muscle tone and posture. People with hypotonic cerebral palsy have low muscle tone or floppiness, which makes them appear limp and relaxed. Hypotonic cerebral palsy can affect the whole body or specific parts, such as the trunk, limbs or face.
Choice D reason:
Ataxic is a type of cerebral palsy that affects balance and coordination. People with ataxic cerebral palsy have difficulty with precise movements, such as writing, buttoning a shirt or reaching for a book. They may also walk in an unsteady manner or have problems with depth perception.
Choice E reason:
Mixed is a type of cerebral palsy that includes symptoms of more than one type of the disorder. For example, a person with mixed cerebral palsy may have both spastic and dyskinetic movements, or both ataxic and hypotonic features. Mixed cerebral palsy is usually caused by damage to multiple areas of the brain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Administering methylergometrine to the client is not the first action the nurse should take. Methylergometrine is a medication that stimulates uterine contractions and can help reduce postpartum bleeding. However, it can also cause hypertension and should be used with caution in clients with high blood pressure. Furthermore, the nurse should first identify and address the cause of the boggy and deviated fundus before giving any medication.
Choice B reason:
Assisting the client to void is the first action the nurse should take. A full bladder can displace the uterus and prevent it from contracting properly, leading to uterine atony and bleeding.
The nurse should help the client empty her bladder by encouraging her to use the bathroom, providing privacy, running water, or using a bedpan. This can help the uterus return to its normal position and tone.
Choice C reason:
Inserting an indwelling urinary catheter is not the first action the nurse should take. A urinary catheter can be used to drain the bladder if the client is unable to void or has a large amount of residual urine. However, it can also increase the risk of infection and trauma to the urethra
and bladder. The nurse should first try noninvasive methods to help the client void, such as those mentioned in choice B.
Choice D reason:
Obtaining a stat hemoglobin level is not the first action the nurse should take. A hemoglobin level can indicate the extent of blood loss and the need for transfusion or other interventions. However, it is not a priority over restoring uterine tone and preventing further bleeding. The nurse should first assist the client to void and then massage the fundus if it remains boggy.
Correct Answer is C
Explanation
Choice A reason:
Intermittent abdominal pain following passage of bloody mucus is not a sign of placenta previa, but rather of bloody show, which is a normal occurrence in late pregnancy as the cervix begins to dilate and efface.
Choice B reason:
Abdominal pain with minimal red vaginal bleeding is not a sign of placenta previa, but rather of abruptio placentae, which is a serious complication where the placenta detaches from the uterine wall before delivery.
Choice C reason:
A large amount of bright red vaginal bleeding without pain is a sign of placenta previa, which is a condition where the placenta covers part or all of the cervical opening. This can cause bleeding when the cervix dilates or contracts, especially in the third trimester. This is a medical emergency that requires immediate attention.
Choice D reason:
Severe abdominal pain with increasing fundal height is not a sign of placenta previa, but rather of uterine rupture, which is a rare but life-threatening complication where the uterus tears open along the scar line from a previous cesarean delivery or other uterine surgery. This can cause severe bleeding, fetal distress, and shock.
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