The parents of a preschooler diagnosed with muscular dystrophy are asking questions about the course of their child's disease.
The nurse should tell them which of the following?
Muscular dystrophies are disorders associated with progressive degeneration of muscles, resulting in relentless and increasing weakness.
The extent of degeneration depends on performing daily physical therapy.
The child will be able to function normally and require no special accommodations.
The weakness that the child is currently experiencing will probably not increase.
The Correct Answer is A
Muscular dystrophies are disorders associated with progressive degeneration of muscles, resulting in relentless and increasing weakness.
This is a general description of muscular dystrophy, a group of genetic diseases that affect different types of muscles and cause various degrees of disability.
Children with muscular dystrophy may experience frequent falls, difficulty walking or running, muscle pain, learning difficulties, and breathing problems.
There is no cure for muscular dystrophy, but treatments can help manage symptoms and slow down the progression of the disease.
Choice B.
The extent of degeneration depends on performing daily physical therapy is incorrect, as physical therapy cannot prevent or reverse the degeneration of muscles caused by muscular dystrophy.
Physical therapy can help maintain muscle strength and flexibility, prevent contractures and deformities, and improve mobility and function.
Choice C.
The child will be able to function normally and require no special accommodations is incorrect, as muscular dystrophy affects the child’s ability to perform daily activities and may require assistive devices, such as braces, wheelchairs, or ventilators.
The child may also need special education services, occupational therapy, speech therapy, or psychological counseling to cope with the disease.
Choice D.
The weakness that the child is currently experiencing will probably not increase incorrectly, as muscular dystrophy is a progressive disease that causes muscle weakness to worsen over time.
The rate and severity of progression may vary depending on the type and subtype of muscular dystrophy.
Therefore, choice A is the best answer to this question.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A nurse caring for a toddler who had a cast applied 2 hours ago due to multiple fractures of the right hand should report immediately to the charge nurse if the fingers on the right hand have a capillary refill of 4 seconds.
This could indicate that there is a problem with circulation.
Choice A is not an answer because it is not unusual for a child to not attempt to move her right arm or fingers after having a cast applied.
Choice B is not an answer because it is not unusual for the fingertips of the right hand to be swollen and bruised after having a cast applied.
Choice D is not an answer because it is not unusual for a child to not keep their arm elevated on a pillow after having a cast applied.
Correct Answer is A
Explanation
This is a diagnostic procedure that involves inserting a needle into the uterus to obtain a sample of amniotic fluid for testing.
This procedure can cause a small amount of fetal blood to enter the maternal circulation, which can trigger an immune response in Rh-negative women carrying Rh-positive fetuses.
RhoGAM is a medication that contains antibodies against the Rh factor and prevents the mother from developing her own antibodies that could harm the fetus or future pregnancies.
RhoGAM should be given within 72 hours after amniocentesis to Rh-negative women who are not already sensitized2.
Choice B.
Biophysical Profile is incorrect, as this is a noninvasive diagnostic procedure that involves ultrasound and fetal heart rate monitoring to assess fetal well-being.
This procedure does not cause fetomaternal hemorrhage and does not require RhoGAM administration.
Choice C.
The contraction stress test is incorrect, as this is a noninvasive diagnostic procedure that involves inducing uterine contractions and monitoring fetal heart rate response to assess fetal oxygenation.
This procedure does not cause fetomaternal hemorrhage and does not require RhoGAM administration.
Choice D.
A nonstress test is incorrect, as this is a noninvasive diagnostic procedure that involves monitoring fetal heart rate and movement to assess fetal well-being.
This procedure does not cause fetomaternal hemorrhage and does not require RhoGAM administration.
Therefore, choice A is the best answer to this question.
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