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Exam (elaborations)

ADN 420 DEVELOPMENT EXAM WITH CORRECT ANSWERS ONLY.

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ADN 420 DEVELOPMENT EXAM WITH CORRECT ANSWERS ONLY.

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Uploaded on
September 10, 2024
Number of pages
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Written in
2024/2025
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  • adn 420 development exam with correct answers only

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ADN 420 DEVELOPMENT
EXAM WITH CORRECT
ANSWERS ONLY




CerebralbPalsyb-bcorrectbanswer-
nonprogressivebimpairmentbofbmotorbfunction,besp.bmusclebcontrol,bcoordination,b&b
posture

DoesbCPbmanifestbitselfbthebsameborbdifferentbinbeachbchild?b-bcorrectbanswer-
differently;bdevelopmentalboutcomesbvarybandbarebdependentbonbseveritybofbthebinj
ury

WhatbcausesbCP?b-bcorrectbanswer-causebisbunknown

RiskbfactorsbknownbtobbebassociatedbwithbCPb-bcorrectbanswer-
existingbbrainbanomolies,bcerebralbinfections,bheadbtraumab(shakenbbabybsyndrome
),borbanoxiabtobthebbrain,bmaternalbchorioamnionitis,bmaternalbinfection,bprematureb
birth,bmultiplebbirths,bveryblowbbirthbweightsbinbnewborns,binabilitybofbthebplacentabto
bprovidebthebdevelopingbfetusbwithboxygenb&bnutrients,binterruptionbofboxygenbdelive

, rybtobthebfetusbduringbbirth,bkernicterusbasbabresultbofbhighblevelsbofbbilirubinbinbtheb
neonatalbperiod

PhysicalbassessmentbfindingsbwithbCPb-bcorrectbanswer-
failurebtobmeetbdevelopmentalbmilestones,bpersistentbprimitivebreflexesb(moroborbton
icbneck),bgaggingborbchokingbwithbfeeding,bpoorbsuckbreflex,btonguebthrust,bpoorbhe
adbcontrol,brigidbpostureb&bextremities,babnormalbposturing,basymmetricbcrawl,bhype
rreflexia;bvision,bspeech,borbhearingbimpairments;bseizures,bimpairedbsocialbrelation
ships

3btypesbofbCerebralbPalsyb-bcorrectbanswer-SpasticbCP,bDyskineticbCP,bAtaxicbCP

SpasticbCPb(pyramidal)b-bcorrectbanswer-
hypertonicity,bincreasedbDTR,bclonus,b&bpoorbcontrolbofbmotion,bbalance,b&bposture
;bimpairmentsbofbfineb&bgrossbmotorbskills;bcanbpresentbinballbfourbextremities;blower
bextremitiesbaffectedbmorebthanbupper;bgaitbcanbappearbcrouchedbwithbabscissoringb
motionbofbtheblegsbwithbfeetbplantarbflexed

2btypesbofbDyskineticbCPb(nonspastic,bextrapyramidal)b-bcorrectbanswer-
Athetoidb&bDystonic

AthetoidbDyskineticbCPb-bcorrectbanswer-
involuntarybjerkingbmovementsbthatbappearbslow,bwrithing,bandbwormlike;bthesebmo
vementsbinvolvebthebextremities,btrunk,bneck,bfaceb&btongue

DystonicbDyskineticbCPb-bcorrectbanswer-
slow,btwistingbmovementsbaffectbthebtrunkborbextremitiesbwithbabnormalbposturingbfr
ombmusclebcontractions;bdroolingb&bspeechbimpairmentbrelatedbtobinvolvementbofbth
ebmusclesbofbpharynx,blarynx,b&boralbregions

AtaxicbCPb(nonspastic,bextrapyramidal)b-bcorrectbanswer-evidencebofbwide-
basedbgaitb&bdifficultybwithbcoordination;bpoorbabilitybtobdobrepetitivebmovements,bla
ckbofbcoordinationbwithbpurposefulbmovementsb(eg.breachingbforbanbobject)

DiagnosticbProceduresbforbCPbDxb-bcorrectbanswer-
neurobassessment,bmetabolicb&bgeneticbtests,bgeneralbmovementsbassessmentbinbc
hildrenb2-5byrs,bMRIb(tobevaluatebstructuresborbabnormalbareasbnearbbone)

NursingbCare/InterventionsbwithbCPb-bcorrectbanswer-
ATIbRNbNursingbCarebofbChildrenbp.182

CommonbmedicationsbgivenbforbCPb-bcorrectbanswer-
Baclofen,bDiazepam,bBotulinumbtoxinbA,bAntiepileptics

PurposebofbBaclofenbwithbCPb-bcorrectbanswer-
cetnrallybactingbmusclebrelaxantbthatbdecreasesbmusclebspasmb&bseverebspasticity

Baclofenbadministrationb-bcorrectbanswer-
oralborbintrathecalbviababspecializedbimplantedbpump
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