Cerebral Palsy

Question 1

Non progressive disorder of movement and posture that results from lesion of the immature brain

Answer 1

Cerebral Palsy

Question 2

Risk factors

Answer 2

Prematurity
Birth asphyxia
Early infection or trauma

Question 3

Types of Cerebral Palsy

Tense, contracted muscles (most common type)

Answer 3

Spastic

Question 4

Types of Cerebral Palsy

Poor sense of balance. Often causing falls and stumbles

Answer 4

Ataxic

Question 5

Types of Cerebral Palsy

Constant, uncontrollable motion of limbs, head, and eyes

Answer 5

Athetoid

Question 6

Types of Cerebral Palsy

Tight muscles that resist effort to make them move

Answer 6

Rigidity

Question 7

Types of Cerebral Palsy

Uncontrollable shaking, interfering with coordination

Answer 7

Tremor

Question 8

Clinical Manifestations

Answer 8

1. Significant hyperreflexia
2. Stiff and rigid arms or legs
3. Persistence of primitive and pathologic reflexes
4. Opisthotonos posture
5. Tones remains relatively constant regardless of activity and level of arousal
6. Extreme irritability and crying
7. Feeding difficulties
8. Delayed gross development

Question 9

Therapeutic goal

Answer 9

Minimize impairments
Maximizing function
Preserving general health

Question 10

This would result in decreased muscle activity by blocking the release of acetylcholine from the neuron

Answer 10

Injecting botulinum toxin Type A

Question 11

The medical use of oxygen at a level higher than atmospheric pressure

Answer 11

Hyperbaric Oxygen Therapy

Question 12

Nursing Management

Answer 12

1. Assess child’s developmental level and intelligence
2. Encourage early intervention and participation in school programs
3. Prepare for using mobilizing devices and to prevent deformities
4. Communicate with the child on a functional level, not on a chronological level
5. Provide safe environment
6. Provide safe, appropriate toys for age and developmental level
7. Position upright after meals