South University, Savannah

NSG 6435 W8 Quiz

1)The physical exam of an established 7-month-old client - diagnosed with spastic cerebral palsy – will mostly likely be positive for which signs?

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?

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 1^st 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 Over the last two months she has become withdrawn & has lost skills previously performed like partial hand skills & acquired spoken language.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?

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?

5. A 2-year-old client, who is unknown to the clinic, presented as a walk-in after experiencing 2 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? (SATA)

6. A 16-year-old client presents to the clinic complaining of frequent headaches with bouts of nausea, vomiting, abdominal pain, photophobia & throbbing unilateral pain that is only relieved with sleep. What is the most likely diagnosis?