Question 1

A child with cerebral palsy (CP)is scheduled for casting of the lower extremities. When instructing the parents about the purpose of the casts, which of the following will the nurse include in the teaching session? Select all that apply.
A)Promote skeletal alignment
B)Maintain stability
C)Improve muscle tone
D)Improve muscle function
E)Control involuntary movements

Accepted Answer

A)Serial casting is used to promote skeletal alignment, maintain stability, and control involuntary movements. Serial casting will not improve muscle tone or function.
B)Serial casting is used to promote skeletal alignment, maintain stability, and control involuntary movements. Serial casting will not improve muscle tone or function.
C)Serial casting is used to promote skeletal alignment, maintain stability, and control involuntary movements. Serial casting will not improve muscle tone or function.
D)Serial casting is used to promote skeletal alignment, maintain stability, and control involuntary movements. Serial casting will not improve muscle tone or function.
E)Serial casting is used to promote skeletal alignment, maintain stability, and control involuntary movements. Serial casting will not improve muscle tone or function.

Question 2

The parents of an infant report that the baby is often withdrawn and lethargic and does not eat or sleep well. The nurse notes that the child is underweight and small for its age. Which action by the nurse is most appropriate?
A)Giving the baby medicine for colic
B)Drawing blood for laboratory work
C)Feeding the baby
D)Observing interactions between the parents and the infant

Accepted Answer

A)Because the parents' concerns and nurse's observations are possibly related to failure to thrive, the nurse would assess the relationship and interactions between the infant and the parents. Assessment is the priority, not feeding the baby. The physician-not the nurse-orders labs and medications.
B)Because the parents' concerns and nurse's observations are possibly related to failure to thrive, the nurse would assess the relationship and interactions between the infant and the parents. Assessment is the priority, not feeding the baby. The physician-not the nurse-orders labs and medications.
C)Because the parents' concerns and nurse's observations are possibly related to failure to thrive, the nurse would assess the relationship and interactions between the infant and the parents. Assessment is the priority, not feeding the baby. The physician-not the nurse-orders labs and medications.
D)Because the parents' concerns and nurse's observations are possibly related to failure to thrive, the nurse would assess the relationship and interactions between the infant and the parents. Assessment is the priority, not feeding the baby. The physician-not the nurse-orders labs and medications.

Question 3

Which of the following best describes the relationship of nutrition, immunity, and geriatric failure to thrive (GFTT)?
A)Illness leads to decreased appetite, which leads to decreased nutrition. This leads to decreased ability to recover from illness. Illness increases susceptibility to GFTT.
B)Decreased nutrition leads to increased appetite. If appetite is so great that it cannot be satiated, GFTT develops. Once GFTT develops, risk of illness and infection increases.
C)Decreased appetite leads to decreased in nutrition. This leads to decreased ability to recover from infection, which increases susceptibility to illness. Illness increases susceptibility to GFTT.
D)GFTT leads to decreased appetite. This leads to imbalanced nutrition and increased susceptibility to illness. This increases the likelihood that GFTT will become chronic.

Accepted Answer

A)Anorexia of aging is a decrease in appetite and consequential decrease of nutrition intake. Vitamin and nutrient deficiencies are also common, and decrease older patients' ability to recover from injury, illness, and infection. This impaired immunity makes older patients more susceptible to both chronic and acute illnesses; illness, in turn, makes patients more susceptible to GFTT.
B)Anorexia of aging is a decrease in appetite and consequential decrease of nutrition intake. Vitamin and nutrient deficiencies are also common, and decrease older patients' ability to recover from injury, illness, and infection. This impaired immunity makes older patients more susceptible to both chronic and acute illnesses; illness, in turn, makes patients more susceptible to GFTT.
C)Anorexia of aging is a decrease in appetite and consequential decrease of nutrition intake. Vitamin and nutrient deficiencies are also common, and decrease older patients' ability to recover from injury, illness, and infection. This impaired immunity makes older patients more susceptible to both chronic and acute illnesses; illness, in turn, makes patients more susceptible to GFTT.
D)Anorexia of aging is a decrease in appetite and consequential decrease of nutrition intake. Vitamin and nutrient deficiencies are also common, and decrease older patients' ability to recover from injury, illness, and infection. This impaired immunity makes older patients more susceptible to both chronic and acute illnesses; illness, in turn, makes patients more susceptible to GFTT.

Question 4

During a home visit, the nurse suspects that a newborn is at risk for failure to thrive (FTT). Which statement by the child's mother supports this assessment?
A)"I do not like to cook."
B)"I needed help at first learning to breastfeed my baby."
C)"I have a glass of wine with dinner once a week."
D)"I have been feeling depressed for the past several weeks."

Accepted Answer

A)The mother who is depressed and anxious may not be interacting appropriately with her infant and puts the child at risk for failure to thrive. A glass of wine once a week is appropriate. The mother's aversion to cooking will not affect the infant. Needing help with breastfeeding is normal for a first-time mother.
B)The mother who is depressed and anxious may not be interacting appropriately with her infant and puts the child at risk for failure to thrive. A glass of wine once a week is appropriate. The mother's aversion to cooking will not affect the infant. Needing help with breastfeeding is normal for a first-time mother.
C)The mother who is depressed and anxious may not be interacting appropriately with her infant and puts the child at risk for failure to thrive. A glass of wine once a week is appropriate. The mother's aversion to cooking will not affect the infant. Needing help with breastfeeding is normal for a first-time mother.
D)The mother who is depressed and anxious may not be interacting appropriately with her infant and puts the child at risk for failure to thrive. A glass of wine once a week is appropriate. The mother's aversion to cooking will not affect the infant. Needing help with breastfeeding is normal for a first-time mother.

Question 5

The nurse is caring for a child with intellectual deficits who has been diagnosed with failure to thrive (FTT). The family is expressing difficulty with managing the child's care needs. Which nursing diagnosis would be appropriate for this situation?
A)Impaired Parenting related to poor parenting skills
B)Dysfunctional Family Processes related to a child with intellectual disability
C)Hopelessness related to terminal condition of the child
D)Compromised Family Coping related to the child's developmental variations

Accepted Answer

A)The family's ability to cope is compromised by the child's developmental variations, but the family is not dysfunctional. Hopelessness and Impaired Parenting are not appropriate in the given situation.
B)The family's ability to cope is compromised by the child's developmental variations, but the family is not dysfunctional. Hopelessness and Impaired Parenting are not appropriate in the given situation.
C)The family's ability to cope is compromised by the child's developmental variations, but the family is not dysfunctional. Hopelessness and Impaired Parenting are not appropriate in the given situation.
D)The family's ability to cope is compromised by the child's developmental variations, but the family is not dysfunctional. Hopelessness and Impaired Parenting are not appropriate in the given situation.

Question 6

The nurse is planning care for a family with five children, one of whom has been diagnosed with cerebral palsy (CP). The child is being cared for in the home, has a tracheostomy, and is on a home ventilator. Which intervention best supports the needs of needs of the family?
A)Meals-on-Wheels
B)Food stamps
C)Psychologic counseling
D)Respite care

Accepted Answer

A)The family members will need breaks from caring for the child in order to provide time for themselves and the other children. Meals-on-Wheels is a service intended for those who are shut-ins. There is no evidence that the family is financially challenged and needs food stamps. Counseling is an option if and when the family shows signs of ineffective coping, which respite care is designed to help prevent.
B)The family members will need breaks from caring for the child in order to provide time for themselves and the other children. Meals-on-Wheels is a service intended for those who are shut-ins. There is no evidence that the family is financially challenged and needs food stamps. Counseling is an option if and when the family shows signs of ineffective coping, which respite care is designed to help prevent.
C)The family members will need breaks from caring for the child in order to provide time for themselves and the other children. Meals-on-Wheels is a service intended for those who are shut-ins. There is no evidence that the family is financially challenged and needs food stamps. Counseling is an option if and when the family shows signs of ineffective coping, which respite care is designed to help prevent.
D)The family members will need breaks from caring for the child in order to provide time for themselves and the other children. Meals-on-Wheels is a service intended for those who are shut-ins. There is no evidence that the family is financially challenged and needs food stamps. Counseling is an option if and when the family shows signs of ineffective coping, which respite care is designed to help prevent.

Question 7

The nurse caring for a child recently diagnosed with cerebral palsy (CP)is discussing the plan of care with the parents. Which should the nurse identify as a major goal of therapy for this child?
A)Promoting optimal global development
B)Increasing the child's IQ level
C)Reversing the degenerative processes that have occurred
D)Curing the underlying defect

Accepted Answer

A)Promoting optimal development in all areas is the goal of therapy with children with CP. CP is caused by a probable brain insult and cannot be cured. Most children with CP have normal IQs, but they might have behavior or perceptual problems. CP is caused by an irreversible brain insult.
B)Promoting optimal development in all areas is the goal of therapy with children with CP. CP is caused by a probable brain insult and cannot be cured. Most children with CP have normal IQs, but they might have behavior or perceptual problems. CP is caused by an irreversible brain insult.
C)Promoting optimal development in all areas is the goal of therapy with children with CP. CP is caused by a probable brain insult and cannot be cured. Most children with CP have normal IQs, but they might have behavior or perceptual problems. CP is caused by an irreversible brain insult.
D)Promoting optimal development in all areas is the goal of therapy with children with CP. CP is caused by a probable brain insult and cannot be cured. Most children with CP have normal IQs, but they might have behavior or perceptual problems. CP is caused by an irreversible brain insult.

Question 8

The nurse suggests that the mother of an infant with failure to thrive (FTT)see a lactation specialist to assist with breastfeeding. Which goal is appropriate when planning care for this family?
A)Increase the number of well-child checkups for the child.
B)Convince the mother to use formula instead of continuing with breastfeeding.
C)Improve the parent-child relationship.
D)Prevent complications associated with poor nutrition.

Accepted Answer

A)The goal is to prevent complications associated with poor nutrition. There is no evidence that the mother is not relating well to the child. Increasing the amount of checkups will not improve nutrition. If the mother wishes to continue breastfeeding and help can be obtained, it may be harmful to her self-esteem to insist she bottle feed the infant, although supplementation with formula is an option.
B)The goal is to prevent complications associated with poor nutrition. There is no evidence that the mother is not relating well to the child. Increasing the amount of checkups will not improve nutrition. If the mother wishes to continue breastfeeding and help can be obtained, it may be harmful to her self-esteem to insist she bottle feed the infant, although supplementation with formula is an option.
C)The goal is to prevent complications associated with poor nutrition. There is no evidence that the mother is not relating well to the child. Increasing the amount of checkups will not improve nutrition. If the mother wishes to continue breastfeeding and help can be obtained, it may be harmful to her self-esteem to insist she bottle feed the infant, although supplementation with formula is an option.
D)The goal is to prevent complications associated with poor nutrition. There is no evidence that the mother is not relating well to the child. Increasing the amount of checkups will not improve nutrition. If the mother wishes to continue breastfeeding and help can be obtained, it may be harmful to her self-esteem to insist she bottle feed the infant, although supplementation with formula is an option.

Question 9

Which of the following would the nurse anticipate observing in the client with geriatric failure to thrive (GFTT)?
A)Decreased salivation and slowed gastrointestinal (GI)motility
B)Neurologic disease or condition
C)Excessive caloric expenditure
D)Congenital errors of metabolism

Accepted Answer

A)Age-related changes impact food intake and digestion and can lead to GFTT, including decreased sense of taste, decreased secretion of digestive enzymes, and decreased salivation. GI motility also slows with age, decreasing metabolism. Neurologic diseases or conditions can lead to either FTT or GFTT, as can excessive caloric expenditure. Congenital errors of metabolism often cause FTT, not GFTT.
B)Age-related changes impact food intake and digestion and can lead to GFTT, including decreased sense of taste, decreased secretion of digestive enzymes, and decreased salivation. GI motility also slows with age, decreasing metabolism. Neurologic diseases or conditions can lead to either FTT or GFTT, as can excessive caloric expenditure. Congenital errors of metabolism often cause FTT, not GFTT.
C)Age-related changes impact food intake and digestion and can lead to GFTT, including decreased sense of taste, decreased secretion of digestive enzymes, and decreased salivation. GI motility also slows with age, decreasing metabolism. Neurologic diseases or conditions can lead to either FTT or GFTT, as can excessive caloric expenditure. Congenital errors of metabolism often cause FTT, not GFTT.
D)Age-related changes impact food intake and digestion and can lead to GFTT, including decreased sense of taste, decreased secretion of digestive enzymes, and decreased salivation. GI motility also slows with age, decreasing metabolism. Neurologic diseases or conditions can lead to either FTT or GFTT, as can excessive caloric expenditure. Congenital errors of metabolism often cause FTT, not GFTT.

Question 10

The nurse sees several adult clients between the ages of 30 and 40 for annual checkups, one of whom has CP. Which of the following client statements represents a common consequence of the stress state caused by CP?
A)"My muscles seem to always hurt all over, and my joints are sore a lot, too."
B)"I have a really hard time socializing and understanding nonverbal communication.
C)"There are times when I just cannot control my anger and I hurt other people."
D)"I just have no appetite lately, and I seem to get dehydrated a lot."

Accepted Answer

A)The majority of adults with CP will have signs of premature aging by their early 40s. These include chronic pain due to the contractions of the muscles, arthritis due to the wear and tear on the joints, and persistent fatigue due to the extended energy needed to work against contracted muscles. Difficulty socializing and understanding nonverbal cues are characteristic of adult ASD. Aggression problems are characteristic of ADHD. Lack of appetite and dehydration are typical of geriatric failure to thrive.
B)The majority of adults with CP will have signs of premature aging by their early 40s. These include chronic pain due to the contractions of the muscles, arthritis due to the wear and tear on the joints, and persistent fatigue due to the extended energy needed to work against contracted muscles. Difficulty socializing and understanding nonverbal cues are characteristic of adult ASD. Aggression problems are characteristic of ADHD. Lack of appetite and dehydration are typical of geriatric failure to thrive.
C)The majority of adults with CP will have signs of premature aging by their early 40s. These include chronic pain due to the contractions of the muscles, arthritis due to the wear and tear on the joints, and persistent fatigue due to the extended energy needed to work against contracted muscles. Difficulty socializing and understanding nonverbal cues are characteristic of adult ASD. Aggression problems are characteristic of ADHD. Lack of appetite and dehydration are typical of geriatric failure to thrive.
D)The majority of adults with CP will have signs of premature aging by their early 40s. These include chronic pain due to the contractions of the muscles, arthritis due to the wear and tear on the joints, and persistent fatigue due to the extended energy needed to work against contracted muscles. Difficulty socializing and understanding nonverbal cues are characteristic of adult ASD. Aggression problems are characteristic of ADHD. Lack of appetite and dehydration are typical of geriatric failure to thrive.

Question 11

While conducting a well-child assessment, the nurse suspects that a 2-month-old has failure to thrive (FTT). Which of the following height and weight measurement parameters should the nurse use to help diagnose this health problem?
A)Height and weight below the 50th percentile
B)Height and weight below the 15th percentile
C)Height and weight below the 5th percentile
D)Height and weight below the 10th percentile

Accepted Answer

A)A child whose weight and height fall below the 5th percentile is diagnosed with failure to thrive. The other percentiles-10th, 15th, and 50th-are higher than that used to diagnose FTT.
B)A child whose weight and height fall below the 5th percentile is diagnosed with failure to thrive. The other percentiles-10th, 15th, and 50th-are higher than that used to diagnose FTT.
C)A child whose weight and height fall below the 5th percentile is diagnosed with failure to thrive. The other percentiles-10th, 15th, and 50th-are higher than that used to diagnose FTT.
D)A child whose weight and height fall below the 5th percentile is diagnosed with failure to thrive. The other percentiles-10th, 15th, and 50th-are higher than that used to diagnose FTT.

Question 12

Which of the following sets of symptoms would the nurse identify in an infant exhibiting hypotonia?
A)Tense muscles and uncoordinated, awkward, stiff movements
B)Increased range of motion of joints, diminished reflex response, floppiness
C)Constant involuntary writhing motions that are more severe distally.
D)Paralysis of one side of the body, with greater upper extremity dysfunction

Accepted Answer

A)Floppiness, increased range of motion of joints, and diminished reflex response are all hallmarks of hypotonia. Tense or tight muscles and uncoordinated, awkward, stiff movements are typical of hypertonia. Constant involuntary writing motions that are more severe distally are signs of athetosis. Paralysis of one side of the body, with the upper extremities being more dysfunctional than the lower extremities, is indicative of hemiplegia.
B)Floppiness, increased range of motion of joints, and diminished reflex response are all hallmarks of hypotonia. Tense or tight muscles and uncoordinated, awkward, stiff movements are typical of hypertonia. Constant involuntary writing motions that are more severe distally are signs of athetosis. Paralysis of one side of the body, with the upper extremities being more dysfunctional than the lower extremities, is indicative of hemiplegia.
C)Floppiness, increased range of motion of joints, and diminished reflex response are all hallmarks of hypotonia. Tense or tight muscles and uncoordinated, awkward, stiff movements are typical of hypertonia. Constant involuntary writing motions that are more severe distally are signs of athetosis. Paralysis of one side of the body, with the upper extremities being more dysfunctional than the lower extremities, is indicative of hemiplegia.
D)Floppiness, increased range of motion of joints, and diminished reflex response are all hallmarks of hypotonia. Tense or tight muscles and uncoordinated, awkward, stiff movements are typical of hypertonia. Constant involuntary writing motions that are more severe distally are signs of athetosis. Paralysis of one side of the body, with the upper extremities being more dysfunctional than the lower extremities, is indicative of hemiplegia.

Question 13

An infant is diagnosed with congenital CP caused by a meningitis infection. Based on this diagnosis, the nurse understands that the pathway for cellular damage is
A)genetic mutation to the brain cells prompted by infection with the causative agent.
B)accumulation of causative agents in the blood stream that gradually build up in the brain.
C)stretching and shearing of the neural pathways and brain tissue.
D)consumption of brain tissue and production of lactic acid by the causative pathogen.

Accepted Answer

A)Streptococcus pneumonia is the pathogen that causes meningitis in infants, and it causes cellular damage through consumption of the brain's tissue and production of the byproduct lactic acid. Genetic mutations are not caused by infections. Neurotoxins like bilirubin accumulate in the bloodstream and eventually damage nerve cells in the brain. Trauma stretches and shears neural pathways and brain tissue.
B)Streptococcus pneumonia is the pathogen that causes meningitis in infants, and it causes cellular damage through consumption of the brain's tissue and production of the byproduct lactic acid. Genetic mutations are not caused by infections. Neurotoxins like bilirubin accumulate in the bloodstream and eventually damage nerve cells in the brain. Trauma stretches and shears neural pathways and brain tissue.
C)Streptococcus pneumonia is the pathogen that causes meningitis in infants, and it causes cellular damage through consumption of the brain's tissue and production of the byproduct lactic acid. Genetic mutations are not caused by infections. Neurotoxins like bilirubin accumulate in the bloodstream and eventually damage nerve cells in the brain. Trauma stretches and shears neural pathways and brain tissue.
D)Streptococcus pneumonia is the pathogen that causes meningitis in infants, and it causes cellular damage through consumption of the brain's tissue and production of the byproduct lactic acid. Genetic mutations are not caused by infections. Neurotoxins like bilirubin accumulate in the bloodstream and eventually damage nerve cells in the brain. Trauma stretches and shears neural pathways and brain tissue.

Question 14

What does a nonorganic cause of failure to thrive (FTT)mean?
A)The FTT is not the result of a disease process or medical condition.
B)The FTT is the result of inborn errors in metabolism.
C)The FTT is the result of congenital disease.
D)The FTT is the result of a congenital anomaly such as cleft palate.

Accepted Answer

A)Most cases of FTT are nonorganic in origin, meaning they are not the result of a disease process or medical condition. FTT resulting from nonorganic causes is called feeding disorder of infancy or early childhood. Organic causes of FTT include congenital diseases, inborn errors of metabolism, neurologic disease, cleft palate, and esophageal reflux.
B)Most cases of FTT are nonorganic in origin, meaning they are not the result of a disease process or medical condition. FTT resulting from nonorganic causes is called feeding disorder of infancy or early childhood. Organic causes of FTT include congenital diseases, inborn errors of metabolism, neurologic disease, cleft palate, and esophageal reflux.
C)Most cases of FTT are nonorganic in origin, meaning they are not the result of a disease process or medical condition. FTT resulting from nonorganic causes is called feeding disorder of infancy or early childhood. Organic causes of FTT include congenital diseases, inborn errors of metabolism, neurologic disease, cleft palate, and esophageal reflux.
D)Most cases of FTT are nonorganic in origin, meaning they are not the result of a disease process or medical condition. FTT resulting from nonorganic causes is called feeding disorder of infancy or early childhood. Organic causes of FTT include congenital diseases, inborn errors of metabolism, neurologic disease, cleft palate, and esophageal reflux.

Question 15

Which of the following statements should the nurse include in a teaching session for an adult client with cerebral palsy (CP)?
A)"Adults with CP are at increased risk of bladder infections, which may result in incontinence."
B)"It's important to undergo regular depression screenings, because undiagnosed depression can contribute to incontinence."
C)"Clients with CP are prone to incontinence as they age."
D)"If you experience urinary incontinence, you will likely need to be assessed by a neurologist to see if the problem is related to nerve function."

Accepted Answer

A)As individuals with CP age, they are more prone to both urinary and bowel incontinence. CP does not increase the risk of bladder infection. Incontinence is often a cause of depression in CP patients, not the other way around. Urinary incontinence in adults with CP is usually not due to neurologic problems. In addition, the doctor-not the nurse-would refer the client to a neurologist.
B)As individuals with CP age, they are more prone to both urinary and bowel incontinence. CP does not increase the risk of bladder infection. Incontinence is often a cause of depression in CP patients, not the other way around. Urinary incontinence in adults with CP is usually not due to neurologic problems. In addition, the doctor-not the nurse-would refer the client to a neurologist.
C)As individuals with CP age, they are more prone to both urinary and bowel incontinence. CP does not increase the risk of bladder infection. Incontinence is often a cause of depression in CP patients, not the other way around. Urinary incontinence in adults with CP is usually not due to neurologic problems. In addition, the doctor-not the nurse-would refer the client to a neurologist.
D)As individuals with CP age, they are more prone to both urinary and bowel incontinence. CP does not increase the risk of bladder infection. Incontinence is often a cause of depression in CP patients, not the other way around. Urinary incontinence in adults with CP is usually not due to neurologic problems. In addition, the doctor-not the nurse-would refer the client to a neurologist.

Question 16

The nurse is planning care for a child who is diagnosed with cerebral palsy (CP). Which of the following are appropriate nursing diagnoses for this child? Select all that apply.
A)Impaired Mobility
B)Risk for Injury
C)Anxiety
D)Caregiver Role Strain
E)Deficient Diversional Activity

Accepted Answer

A)The child with cerebral palsy will demonstrate poor social skills; therefore, Deficient Diversional Activity would be an appropriate diagnosis for the child. The child with CP is more likely to have impaired mobility. Risk for Injury may be an appropriate diagnosis for the child with CP depending on the type and severity. The parent will experience anxiety and caregiver role strain, not the child.
B)The child with cerebral palsy will demonstrate poor social skills; therefore, Deficient Diversional Activity would be an appropriate diagnosis for the child. The child with CP is more likely to have impaired mobility. Risk for Injury may be an appropriate diagnosis for the child with CP depending on the type and severity. The parent will experience anxiety and caregiver role strain, not the child.
C)The child with cerebral palsy will demonstrate poor social skills; therefore, Deficient Diversional Activity would be an appropriate diagnosis for the child. The child with CP is more likely to have impaired mobility. Risk for Injury may be an appropriate diagnosis for the child with CP depending on the type and severity. The parent will experience anxiety and caregiver role strain, not the child.
D)The child with cerebral palsy will demonstrate poor social skills; therefore, Deficient Diversional Activity would be an appropriate diagnosis for the child. The child with CP is more likely to have impaired mobility. Risk for Injury may be an appropriate diagnosis for the child with CP depending on the type and severity. The parent will experience anxiety and caregiver role strain, not the child.
E)The child with cerebral palsy will demonstrate poor social skills; therefore, Deficient Diversional Activity would be an appropriate diagnosis for the child. The child with CP is more likely to have impaired mobility. Risk for Injury may be an appropriate diagnosis for the child with CP depending on the type and severity. The parent will experience anxiety and caregiver role strain, not the child.

Question 17

Which statement made by a parent would cause the nurse to suspect that the infant may have a developmental condition like cerebral palsy (CP)?
A)"My 6-month-old baby is rolling from back to prone now."
B)"My 8-month-old cannot sit without support."
C)"My 10-month-old is not walking."
D)"My 3-month-old smiles at me all the time."

Accepted Answer

A)Children with cerebral palsy are delayed in meeting developmental milestones. The infant who fails to sit unassisted at 8 months of age is showing a delay. A baby rolls over from back to prone at 6 months, smiles socially at 6 weeks, and walks at 12 months.
B)Children with cerebral palsy are delayed in meeting developmental milestones. The infant who fails to sit unassisted at 8 months of age is showing a delay. A baby rolls over from back to prone at 6 months, smiles socially at 6 weeks, and walks at 12 months.
C)Children with cerebral palsy are delayed in meeting developmental milestones. The infant who fails to sit unassisted at 8 months of age is showing a delay. A baby rolls over from back to prone at 6 months, smiles socially at 6 weeks, and walks at 12 months.
D)Children with cerebral palsy are delayed in meeting developmental milestones. The infant who fails to sit unassisted at 8 months of age is showing a delay. A baby rolls over from back to prone at 6 months, smiles socially at 6 weeks, and walks at 12 months.

Question 18

A nurse is teaching a mother of an infant who has been diagnosed with failure to thrive (FTT)about the treatment for the condition. Which statement by the nurse is appropriate?
A)"Appetite stimulant medications will be prescribed to help your child gain weight."
B)"If your child is breastfeeding, you must stop and feed your child formula."
C)"A home care nurse will be visiting to see how your child eats."
D)"A home care nurse will be visiting to insert a nasogastric feeding tube in your child."

Accepted Answer

A)Teaching the child's parent is paramount in the treatment for a child with FTT. A home care nurse may visit the child's home to observe how the child eats in order to teach the child's parent about any barriers or techniques to improve nutrition. No specific pharmacologic therapy is indicated with FTT. A woman who is breastfeeding a child with FTT does not need to stop breastfeeding. The mother should be provided teaching about proper breastfeeding techniques and additional information as needed. A child with FTT does not automatically require a nasogastric tube for enteral feedings.
B)Teaching the child's parent is paramount in the treatment for a child with FTT. A home care nurse may visit the child's home to observe how the child eats in order to teach the child's parent about any barriers or techniques to improve nutrition. No specific pharmacologic therapy is indicated with FTT. A woman who is breastfeeding a child with FTT does not need to stop breastfeeding. The mother should be provided teaching about proper breastfeeding techniques and additional information as needed. A child with FTT does not automatically require a nasogastric tube for enteral feedings.
C)Teaching the child's parent is paramount in the treatment for a child with FTT. A home care nurse may visit the child's home to observe how the child eats in order to teach the child's parent about any barriers or techniques to improve nutrition. No specific pharmacologic therapy is indicated with FTT. A woman who is breastfeeding a child with FTT does not need to stop breastfeeding. The mother should be provided teaching about proper breastfeeding techniques and additional information as needed. A child with FTT does not automatically require a nasogastric tube for enteral feedings.
D)Teaching the child's parent is paramount in the treatment for a child with FTT. A home care nurse may visit the child's home to observe how the child eats in order to teach the child's parent about any barriers or techniques to improve nutrition. No specific pharmacologic therapy is indicated with FTT. A woman who is breastfeeding a child with FTT does not need to stop breastfeeding. The mother should be provided teaching about proper breastfeeding techniques and additional information as needed. A child with FTT does not automatically require a nasogastric tube for enteral feedings.

Question 19

A nurse is caring for a pregnant client who has a history of depression. When including information to decrease the client's risk for having an infant diagnosed with failure to thrive (FTT), which of the following rationales is appropriate?
A)Women with mental illness have a decreased breast-milk supply, increasing the risk of FTT.
B)Women with mental illness may be socially isolated, increasing the risk of FTT.
C)Women with mental illness take medications that pass through the breast milk, increasing the risk of FTT.
D)Women with mental illness lack the knowledge required to provide adequate nutrition, increasing the risk of FTT.

Accepted Answer

A)Women with mental illness may be socially isolated, increasing the risk of FTT. The other statements are false generalizations and are not culturally competent statements.
B)Women with mental illness may be socially isolated, increasing the risk of FTT. The other statements are false generalizations and are not culturally competent statements.
C)Women with mental illness may be socially isolated, increasing the risk of FTT. The other statements are false generalizations and are not culturally competent statements.
D)Women with mental illness may be socially isolated, increasing the risk of FTT. The other statements are false generalizations and are not culturally competent statements.

Quiz 25: Development

A child with cerebral palsy (CP) is scheduled for casting of the lower extremities. When instructing the parents about the purpose of the casts, which of the following will the nurse include in the teaching session? Select all that apply.

The parents of an infant report that the baby is often withdrawn and lethargic and does not eat or sleep well. The nurse notes that the child is underweight and small for its age. Which action by the nurse is most appropriate?

Which of the following best describes the relationship of nutrition, immunity, and geriatric failure to thrive (GFTT) ?

During a home visit, the nurse suspects that a newborn is at risk for failure to thrive (FTT) . Which statement by the child's mother supports this assessment?

The nurse is caring for a child with intellectual deficits who has been diagnosed with failure to thrive (FTT) . The family is expressing difficulty with managing the child's care needs. Which nursing diagnosis would be appropriate for this situation?

The nurse is planning care for a family with five children, one of whom has been diagnosed with cerebral palsy (CP) . The child is being cared for in the home, has a tracheostomy, and is on a home ventilator. Which intervention best supports the needs of needs of the family?

The nurse caring for a child recently diagnosed with cerebral palsy (CP) is discussing the plan of care with the parents. Which should the nurse identify as a major goal of therapy for this child?

The nurse suggests that the mother of an infant with failure to thrive (FTT) see a lactation specialist to assist with breastfeeding. Which goal is appropriate when planning care for this family?

Which of the following would the nurse anticipate observing in the client with geriatric failure to thrive (GFTT) ?

The nurse sees several adult clients between the ages of 30 and 40 for annual checkups, one of whom has CP. Which of the following client statements represents a common consequence of the stress state caused by CP?

While conducting a well-child assessment, the nurse suspects that a 2-month-old has failure to thrive (FTT) . Which of the following height and weight measurement parameters should the nurse use to help diagnose this health problem?

Which of the following sets of symptoms would the nurse identify in an infant exhibiting hypotonia?

An infant is diagnosed with congenital CP caused by a meningitis infection. Based on this diagnosis, the nurse understands that the pathway for cellular damage is

What does a nonorganic cause of failure to thrive (FTT) mean?

Which of the following statements should the nurse include in a teaching session for an adult client with cerebral palsy (CP) ?

The nurse is planning care for a child who is diagnosed with cerebral palsy (CP) . Which of the following are appropriate nursing diagnoses for this child? Select all that apply.

Which statement made by a parent would cause the nurse to suspect that the infant may have a developmental condition like cerebral palsy (CP) ?

A nurse is teaching a mother of an infant who has been diagnosed with failure to thrive (FTT) about the treatment for the condition. Which statement by the nurse is appropriate?

A nurse is caring for a pregnant client who has a history of depression. When including information to decrease the client's risk for having an infant diagnosed with failure to thrive (FTT) , which of the following rationales is appropriate?