Practice Question
Which statements made by the parent indicate that appropriate care is being provided to a a-year-old who has spastic type cerebral palsy? (Select All that Apply.)
Answer Choices:
Correct Answer:
“I preform range of motion exercises every 4 hours to help prevent contractures.“
Rationale:
“I perform range‑of‑motion exercises every 4 hours to help prevent contractures.”
🔷 Children with spastic CP have hypertonia that places them at high risk for muscle shortening and joint contractures; regular ROM maintains muscle length and joint mobility.
🔷 Slow, gentle, pain‑free stretching with a sustained hold reduces spasticity and helps preserve functional alignment.
🔷 Pairing ROM with proper positioning, night splints/AFOs, and PT guidance further prevents deformity and protects skin integrity.
🔷 Scheduling ROM throughout the day (e.g., every few hours while awake) counters the constant pull of spastic muscles and improves comfort and care efficiency.
🔷 Caregivers should document tolerance, avoid forceful stretching, and coordinate with PT/OT to individualize frequency and technique.
“I play games with my child every day to keep them as independent as possible.”
🔷 Daily play‑based, task‑specific practice promotes motor learning and neuroplasticity, directly supporting self‑care independence.
🔷 Purposeful play (stacking, dressing dolls, simple chores) targets fine‑ and gross‑motor skills, bilateral coordination, and problem‑solving in a motivating context.
🔷 Consistent engagement reduces learned dependence, enhances confidence, and supports psychosocial development and participation.
🔷 Integrating strategies from PT/OT/SLP (cueing, graded assistance, assistive tech) makes activities accessible and safe.
🔷 Emphasis on function over perfection (small wins, energy conservation, rest breaks) sustains participation and long‑term independence.
“I use utensils with large, padded handles to help my child feed themselves more easily.”
🔷 Adaptive utensils increase grip size and friction, compensating for spasticity, poor dexterity, and ataxic movements to enable self‑feeding.
🔷 Improved utensil control shortens mealtime, reduces fatigue and frustration, and strengthens the child’s autonomy in ADLs.
🔷 When combined with optimal seating/positioning (upright 90‑90‑90, trunk support, feet supported) and slower pacing, feeding becomes safer and more efficient.
🔷 Collaboration with OT refines utensil selection (angled spoons, weighted handles, scoop dishes) to match the child’s motor profile.
🔷 Enhancing self‑feeding also supports oromotor practice, better nutritional intake, and quality of life for the child and family.
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This question is from Custom: NUR209 Final Assessment Su2. 2025 which contains 61 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Custom Exam(s)
- Answer Choices: 5