NUR 210 Exam 4 Review Updated A+ Latest Guide Solution.

NUR 210 Exam 4 Review Updated A+ Latest Guide Solution. Cerebral palsy- The proposed new definition for cerebral palsy has four major dimensions of classification. This includes associated impairments such as seizures; hearing or vision impairment; attentional, behavioral, communicative, or cognitive deficits; oral motor and speech function. This differs from motor abnormalities, which pertain to the nature and typology of the motor disorder, functional motor abilities. An associated impairment is another condition outside of motor disorders, and functional motor abilities are associated with cerebral palsy Monoplegia: Only one limb is involved. Tetraplegia: All four extremities involved legs and trunk, mouth, pharynx, and tongue (10% to 15% of spastic CP). Triplegia: Three limbs involved. Hemiplegia: Motor dysfunction on one side of the body; upper extremities are more affected than the lower extremities (20% to 30% of spastic Cerebral Palsy.) Abnormal motor function of cerebral palsy infant: The nurse should observe for a persistent tongue thrust, poor sucking, and feeding difficulties in an infant of this age. The child is too young to assess for an abnormal or asymmetric crawl or a unilateral hand preference External distractions include: interruptions, understaffing, and lack of teamwork. Internal Distraction: Procrastination is an internal distraction. Cerebral palsy and feedings-with a child: Oral feedings may be continued to maintain oral motor skills as tolerated. Because children with CP expend so much energy in their efforts to accomplish ADLs, more frequent rest periods should be arranged to avoid fatigue. Gastrostomy feedings may be necessary to supplement regular feedings and ensure adequate weight gain, particularly in children at risk for growth failure and chronic malnutrition, those with severe CP and subsequent oral feeding difficulties, and children whose well-being is affected by illness and decreased fluid or medication intake. Chronic constipation may be an issue. Encephalocele: Herniation of brain and meninges through a defect in the skull, producing a fluid-filled sac; can be frontal or posterior. Exencephaly: Brain totally exposed or extruded through an associated skull defect; fetus usually aborted. Rachischisis or spina bifida (SB): Fissure in the spinal column leaves the meninges and spinal cord exposed.