NSG 6435 week 8 quiz
1. The physical exam of an established 7-month-old client, diagnosed
with spastic cerebral palsy will most likely be positive for which signs
Answer- Increased deep tendon reflexes and sustained clonus
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 thelower extremities, absent deep tendon reflexes, lack
of response to touch andpain, and has a saclike cyst on the lower back.
What is the most probablediagnosis? Answer- Myelomeningocele
3. A 7-month old female client presents to the clinic to establish care.
During the visit, the parents report that their daughter was developing
as expected during the first 5 months of life but they fear that her
development has plateaued. Over the last two months she has become
withdrawn and has lost skills previously performed like partial hand
skills and acquired spoken language. The provider notes on exam
excessive bruxism, periods of apnea followed by hyperpnea, hand
wringing, and spastic para¬paresis. What is the most likely diagnosis?
Answer- Rett Syndrome
4. An apparently healthy 7-year-old client, presents to the clinic
complaining of left-sided facial paralysis that occurred suddenly. The
client denies any sensory loss but reports difficulty closing the left
eyelid. The provider suspects the client has Bell's Palsy. Which cranial
nerve is most likely affected in this condition? Answer- VII
5. A 2-year-old client, who is unknown to the clinic, is presented as a
walk-in after experiencing two seizures last night when the
temperature spiked to 102°F. During the visit, the provider learns that
the client is currently being treated for a viral illness. In the clinic, the
client's temperature is 100°F. The provider informs the parent that
febrile seizures may reoccur. Although rarely required, what
prophylactic medication can the provider prescribe? (select all that
apply) Answer- Diazepam 0.33 mg/kg by mouth every 8 hours for 2 to
3 days
Diazepam 0.5mg/kg by suppositories once per day
6. A 16-year-old client presents to the clinic complaining of frequent
headaches with bouts of nausea, vomiting, abdominal pain,
1. The physical exam of an established 7-month-old client, diagnosed
with spastic cerebral palsy will most likely be positive for which signs
Answer- Increased deep tendon reflexes and sustained clonus
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 thelower extremities, absent deep tendon reflexes, lack
of response to touch andpain, and has a saclike cyst on the lower back.
What is the most probablediagnosis? Answer- Myelomeningocele
3. A 7-month old female client presents to the clinic to establish care.
During the visit, the parents report that their daughter was developing
as expected during the first 5 months of life but they fear that her
development has plateaued. Over the last two months she has become
withdrawn and has lost skills previously performed like partial hand
skills and acquired spoken language. The provider notes on exam
excessive bruxism, periods of apnea followed by hyperpnea, hand
wringing, and spastic para¬paresis. What is the most likely diagnosis?
Answer- Rett Syndrome
4. An apparently healthy 7-year-old client, presents to the clinic
complaining of left-sided facial paralysis that occurred suddenly. The
client denies any sensory loss but reports difficulty closing the left
eyelid. The provider suspects the client has Bell's Palsy. Which cranial
nerve is most likely affected in this condition? Answer- VII
5. A 2-year-old client, who is unknown to the clinic, is presented as a
walk-in after experiencing two seizures last night when the
temperature spiked to 102°F. During the visit, the provider learns that
the client is currently being treated for a viral illness. In the clinic, the
client's temperature is 100°F. The provider informs the parent that
febrile seizures may reoccur. Although rarely required, what
prophylactic medication can the provider prescribe? (select all that
apply) Answer- Diazepam 0.33 mg/kg by mouth every 8 hours for 2 to
3 days
Diazepam 0.5mg/kg by suppositories once per day
6. A 16-year-old client presents to the clinic complaining of frequent
headaches with bouts of nausea, vomiting, abdominal pain,
