NUR 210 Exam 4 Review Updated A+ Latest Guide Solution.
Cerebral palsy- The proposed new definition for cerebral palsy has four major dimensions
... [Show More] 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. [Show Less]