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Mobility Chapter 35: The Child with Neuromuscular or Muscular Dysfunction MULTIPLE CHOICE 1. What is the most common cause of cerebral palsy (CP)? 2. Spastic cerebral palsy (CP) is characterized by which clinical manifestations? 3. What type of cerebral palsy (CP) is the most common type? 4. The parents of an infant with cerebral palsy (CP) ask the nurse if their child will have cognitive impairment. The nurse’s response should be based on which knowledge? 5. Gingivitis is a common problem in children with cerebral palsy (CP). What preventive measure should be included in the plan of care? 6. What is a major goal of therapy for children with cerebral palsy (CP)? 7. The parents of a child with spastic cerebral palsy (CP) state that their child seems to have significant pain. In addition to systemic pharmacologic management, the nurse includes which teaching? 8. A child, age 3 years, has cerebral palsy (CP) and is hospitalized for orthopedic surgery. His mother says he has difficulty swallowing and cannot hold a utensil to feed himself. He is slightly underweight for his height. What is the most appropriate nursing action related to feeding this child? 9. An 8-year-old girl with moderate cerebral palsy (CP) recently began joining a regular classroom for part of the day. Her mother asks the school nurse about joining the after-school Girl Scout troop. The nurse’s response should be based on which knowledge? 10. A 4-month-old with significant head lag meets the criteria for floppy infant syndrome. A diagnosis of progressive infantile spinal muscular atrophy (Werdnig- Hoffmann disease) is made. What should be included in the nursing care for this child?

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