The nursing student asks what the family might have noticed that would indicate CP in T.M
when he was a baby. Which of these findings will you include in your discussion with the
student? Select all that apply, and state your rationale.
a. Head lag at 5 months
b. Ability to sit unassisted at 7 months
c. Positive Moro (startle) reflex at 2 months
d. Leg scissoring
e. Right hand preference at 12 months
f. Use of pincer grasp at 9 months
g. Increased irritability
a, c, d, e, g
Common signs of CP are persistence of primitive reflexes; early preference for one side (hand or
gross motor such as crawling); rigidity in arms and legs, which can be evidenced by unusual stiffness
or "scissoring"; or floppy muscle tone, which can be evidenced by persistent head lag and lack of
neck control. Infants with CP may also be irritable, poor feeders who struggle with coordinated suck
and swallow, or excessive sleepers who show little interest in their environment. Normal findings
would include a history of sitting at 7 months, a Moro reflex until 4 months, and use of pincer grasp
at 9 months.
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For clients with lung disease, which of the following factors should determine the amount of aerobic activity?
A) Dyspnea B) Heart rate C) Bronchospasm D) Infection
The patient's blood pressure is 140/60. The nurse realizes that this equates to a pulse pressure of
a. 140. b. 60. c. 80. d. 200.
During hospitalization, an attention-seeking client has repeatedly cut herself. After threatening to cut herself again, the nurse states, "Here are some Band-Aids so you won't bleed on the sheets." Which is the underlying reason for this nurse's response?
A. The nurse is using an aversive stimulus in response to the client's manipulative cutting behavior. B. The nurse is using negative reinforcement in response to the client's behavior. C. The nurse is minimizing reinforcement of the client's manipulative behavior with the goal of extinction. D. The nurse lacks empathy for the client's recurring self-injurious behavior.
D4 subordinates are not certain that they can do the job by themselves
a. True b. False