NSG 6435-week 8 quiz-graded A

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1. The physical exam of an established 7-month-old client - diagnosed with spastic cerebral palsy – will mostly likely be positive for which signs? Increased deep tendon reflexes & sustained clonus... Dystonic posturing & sustained clonus Abnormal involuntary movements & increased deep tendon reflexes Nystagmus & absent reflexes 2. A 4-year-old client, who is new to the clinic, presents for a sick visit. However, upon exam the provider discovers that the client has flaccid paralysis over the lower extremities, absent deep tendon reflexes, lack of response to touch & pain, & has a saclike cyst on the lower back. What is the most probable diagnosis? Viral gastroenteritis Myelomeningocele Meningitis Shunt infection 3. A 7-month old female presents to the clinic to establish care. During the visit, the parents report that their daughter was developing as expected during the 1st 5 months of life but they fear that her development has plateaued. Over the last two months she has become withdrawn & has lost skills previously performed like partial hand skills & acquired spoken language. The provider notes on exam excessive bruxism, periods of apnea followed by hyperpnea, hand wringing, & spastic paraparesis. What is the most likely diagnosis? CONTINUED....... [Show More]

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