What finding should cause the nurse to suspect a diagnosis of spastic cerebral palsy?
a. Tremulous movements at rest and with activity
b. Sudden jerking movement caused by stimuli
c. Writhing, uncontrolled, involuntary movements
d. Clumsy, uncoordinated movements
B
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A Tremulous movements are characteristic of rigid/tremor/atonic cerebral palsy.
B Spastic cerebral palsy, the most common type of cerebral palsy, will manifest
with hypertonicity and increased deep tendon reflexes. The child's muscles are
very tight and any stimuli may cause a sudden jerking movement.
C Slow, writhing, uncontrolled, involuntary movements occur with athetoid or
dyskinetic cerebral palsy.
D Clumsy movements, loss of coordination, equilibrium, and kinesthetic sense
occur in ataxic cerebral palsy.
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