Nurs 1230 Exam Questions And Answers.
Verified and Updated.
What is cerebral palsy? - answer✔✔Abnormal develop of, or damage to, the motor areas of the
brain; results in brains ability to control movement and posture
Is cerebral palsy progressive or non-progressive? - answer✔✔It is non-progressive
- once the baby is born the disease does not progress/get worse
Therapeutic management of cerebral palsy - answer✔✔- Get child to the highest functioning
capacity
- Do mobility with child till resistance or pain
**Pharmacological management- Baclofen? - answer✔✔- A neuromuscular relaxer - Especially
helps with Spastic Cerebral Palsy
- Can be given orally or is a pump implanted underneath the skin, which can be controlled with a
handheld device or even an app on the phone
What kind of diets are people with cerebral palsy on? - answer✔✔They may be on liquid or a
puree diet
- Children with cerebral palsy don't just have difficulty walking, but also with swallowing and
chewing. Make sure a swallow test is done. Do not have anyone feed child solid food unless it
has been cleared.
Nursing Management for Cerebral Palsy: - answer✔✔Brace them to prevent contractors
(contractors are due to improper positioning and no ROM exercises and surgery is needed to get
them cut)
Nursing Management for Cerebral Palsy: - answer✔✔Promote mobility, by using Hippotherapy
(with a horse)
What is Spina Bifida? - answer✔✔An opening in your back where the spinal cord is exposed or
protruding. Any place where that defect is- from there down you have paralysis
Side effects of Spina Bifida: - answer✔✔- Bowel and Bladder incontinence
- No sexual function
Is Spina Bifida reversible? - answer✔✔It is IRREVERSIBLE!!
EXAM STUDY MATERIALS July 24, 2024 1:33:58 PM
, Prevention of Spina Bifida: - answer✔✔At least a year before you get pregnant you should take
Folic Acid
- also recommended for adolescent girl
**How many types of Spina Bifida are there? - answer✔✔There are 3 types of Spina Bifida
Spina Bifida Occulta - answer✔✔- The least severe case of Spina bifida
- It can be identified as a little patch of hair or dimpling right above the buttocks
- Babies can NO LOSS OF FUNCTION so nerves are still intact
- Spinal cord is completely intact
Meningocele - answer✔✔Background: The meninges of the body protect the spinal cord and its
a covering around the spinal cord thats filled with cerebral spinal fluid
- So whats protruding in this case is the meninges and as long as this sac does not rupture and the
cord does not protrude the child may or may not have disabilities
Myelomeningocele (WORST CASE)- - answer✔✔-The cord is herniating out and the nerves are
exposed
-The sac is most likely ruptured and not in tact
- From the protrusion down there is paralysis, loss of movement of lower limbs, loss of sexual
function, loss of sensation, loss of bowel and bladder function
- IT IS PERMANENT
Nursing interventions with Spina Bifida Meningocele and Myelomeningocele - answer✔✔-
Baby will need to go to surgery right away
While While waiting for surgery:
- the baby will stay prone (on his belly)
- The child will be under a radiant warmer
- We want to keep baby on his belly and not on his side because the cord can fall and shift, and
can rupture the sac
If the sac ruptures theres a higher incidence of INFECTION
- We want to wrap the sac sterile, warm saline and cause from prevent it from drying out from
the radiant warmer
- We want to change dressing so baby does not get hypothermia
EXAM STUDY MATERIALS July 24, 2024 1:33:58 PM
Verified and Updated.
What is cerebral palsy? - answer✔✔Abnormal develop of, or damage to, the motor areas of the
brain; results in brains ability to control movement and posture
Is cerebral palsy progressive or non-progressive? - answer✔✔It is non-progressive
- once the baby is born the disease does not progress/get worse
Therapeutic management of cerebral palsy - answer✔✔- Get child to the highest functioning
capacity
- Do mobility with child till resistance or pain
**Pharmacological management- Baclofen? - answer✔✔- A neuromuscular relaxer - Especially
helps with Spastic Cerebral Palsy
- Can be given orally or is a pump implanted underneath the skin, which can be controlled with a
handheld device or even an app on the phone
What kind of diets are people with cerebral palsy on? - answer✔✔They may be on liquid or a
puree diet
- Children with cerebral palsy don't just have difficulty walking, but also with swallowing and
chewing. Make sure a swallow test is done. Do not have anyone feed child solid food unless it
has been cleared.
Nursing Management for Cerebral Palsy: - answer✔✔Brace them to prevent contractors
(contractors are due to improper positioning and no ROM exercises and surgery is needed to get
them cut)
Nursing Management for Cerebral Palsy: - answer✔✔Promote mobility, by using Hippotherapy
(with a horse)
What is Spina Bifida? - answer✔✔An opening in your back where the spinal cord is exposed or
protruding. Any place where that defect is- from there down you have paralysis
Side effects of Spina Bifida: - answer✔✔- Bowel and Bladder incontinence
- No sexual function
Is Spina Bifida reversible? - answer✔✔It is IRREVERSIBLE!!
EXAM STUDY MATERIALS July 24, 2024 1:33:58 PM
, Prevention of Spina Bifida: - answer✔✔At least a year before you get pregnant you should take
Folic Acid
- also recommended for adolescent girl
**How many types of Spina Bifida are there? - answer✔✔There are 3 types of Spina Bifida
Spina Bifida Occulta - answer✔✔- The least severe case of Spina bifida
- It can be identified as a little patch of hair or dimpling right above the buttocks
- Babies can NO LOSS OF FUNCTION so nerves are still intact
- Spinal cord is completely intact
Meningocele - answer✔✔Background: The meninges of the body protect the spinal cord and its
a covering around the spinal cord thats filled with cerebral spinal fluid
- So whats protruding in this case is the meninges and as long as this sac does not rupture and the
cord does not protrude the child may or may not have disabilities
Myelomeningocele (WORST CASE)- - answer✔✔-The cord is herniating out and the nerves are
exposed
-The sac is most likely ruptured and not in tact
- From the protrusion down there is paralysis, loss of movement of lower limbs, loss of sexual
function, loss of sensation, loss of bowel and bladder function
- IT IS PERMANENT
Nursing interventions with Spina Bifida Meningocele and Myelomeningocele - answer✔✔-
Baby will need to go to surgery right away
While While waiting for surgery:
- the baby will stay prone (on his belly)
- The child will be under a radiant warmer
- We want to keep baby on his belly and not on his side because the cord can fall and shift, and
can rupture the sac
If the sac ruptures theres a higher incidence of INFECTION
- We want to wrap the sac sterile, warm saline and cause from prevent it from drying out from
the radiant warmer
- We want to change dressing so baby does not get hypothermia
EXAM STUDY MATERIALS July 24, 2024 1:33:58 PM
