NURS 1230 FINAL EXAM QUESTIONS AND ANSWERS | NURS 1230
FINAL EXAM STUDY GUIDE & PRACTICE TEST 2026/2027
Cerebral Palsy - correct answer ✔✔Abnormal development of, or damage to, the motor areas of the
brain (most often times occurs in utero) - Condition is considered non-progressive
Spastic Cerebral Palsy - correct answer ✔✔This is the most common type of CP, accounting for 80% of
cases.
Characterized by hypertonia, difficulty walking, intellectual disability, seizures, problems with vision,
hearing, speech, or sometimes spinal conditions or joint problems
Early Signs of CP - correct answer ✔✔Infants < 6 Months:
Head lag, hyper or hypotonia
Infants > 6 Months:
Does not roll over in either direction, cannot bring hands together, has difficulty bringing hands to
mouth, reaches out with only one hand while keeping the other fisted
Treatment of Cerebral Palsy - correct answer ✔✔Physical, occupational, and speech therapy,
pharmacological management (baclofen - oral or pump, implanted underneath the skin)
Nursing Assessment of Cerebral Palsy - correct answer ✔✔Assess health history (premature birth, lack of
developmental milestones, look for HYPERtonicity, contractures)
Labs and diagnostics such as MRI can be done to assess damage to motor areas of brain
Nursing Management - correct answer ✔✔Promote mobility, hippotherapy, promote nutrition,
medication, and providing education
Spina Bifida Occulta - correct answer ✔✔Defect without protrusion of spinal cord or meninges
Benign, harmless, normal birth variation - Look for a dimple, patch of hair, or discoloration of the skin
Spina Bifida Cystica - Meningocele - correct answer ✔✔Meninges and spinal fluid herniate through a
defect in vertebrae
Visible external sac that is removed surgically within 1-2 days of birth
Preventing rupture or trauma of the sac is crucial to avoid infection - prone or side-laying while feeding
(many babies have iv fluids pre-op)
Spina Bifida Cystica - Myelomeningocele - correct answer ✔✔Meninges, spinal fluid, portion of the
spinal cord, and nerves all herniate
Surgical closure shortly after birth. The spinal cord ends at the point of defect, resulting in absent motor
& sensory function beyond the point of herniation
FINAL EXAM STUDY GUIDE & PRACTICE TEST 2026/2027
Cerebral Palsy - correct answer ✔✔Abnormal development of, or damage to, the motor areas of the
brain (most often times occurs in utero) - Condition is considered non-progressive
Spastic Cerebral Palsy - correct answer ✔✔This is the most common type of CP, accounting for 80% of
cases.
Characterized by hypertonia, difficulty walking, intellectual disability, seizures, problems with vision,
hearing, speech, or sometimes spinal conditions or joint problems
Early Signs of CP - correct answer ✔✔Infants < 6 Months:
Head lag, hyper or hypotonia
Infants > 6 Months:
Does not roll over in either direction, cannot bring hands together, has difficulty bringing hands to
mouth, reaches out with only one hand while keeping the other fisted
Treatment of Cerebral Palsy - correct answer ✔✔Physical, occupational, and speech therapy,
pharmacological management (baclofen - oral or pump, implanted underneath the skin)
Nursing Assessment of Cerebral Palsy - correct answer ✔✔Assess health history (premature birth, lack of
developmental milestones, look for HYPERtonicity, contractures)
Labs and diagnostics such as MRI can be done to assess damage to motor areas of brain
Nursing Management - correct answer ✔✔Promote mobility, hippotherapy, promote nutrition,
medication, and providing education
Spina Bifida Occulta - correct answer ✔✔Defect without protrusion of spinal cord or meninges
Benign, harmless, normal birth variation - Look for a dimple, patch of hair, or discoloration of the skin
Spina Bifida Cystica - Meningocele - correct answer ✔✔Meninges and spinal fluid herniate through a
defect in vertebrae
Visible external sac that is removed surgically within 1-2 days of birth
Preventing rupture or trauma of the sac is crucial to avoid infection - prone or side-laying while feeding
(many babies have iv fluids pre-op)
Spina Bifida Cystica - Myelomeningocele - correct answer ✔✔Meninges, spinal fluid, portion of the
spinal cord, and nerves all herniate
Surgical closure shortly after birth. The spinal cord ends at the point of defect, resulting in absent motor
& sensory function beyond the point of herniation
