A nurse in a clinic is teaching a group of parents about scoliosis screening.
Which of the following statements by a parent indicates an understanding of the teaching?
"Boys should be screened for scoliosis at a younger age than girls.”.
"Scoliosis is associated with some form of childhood trauma.”.
"Children who have scoliosis will often report back pain.”.
"During the screening, the child is asked to stand and bend forward at the waist with his arms hanging.”.
The Correct Answer is D
Choice A rationale
Boys are generally screened for scoliosis at a later age than girls due to different growth patterns and timelines in puberty. Girls typically go through growth spurts earlier, which can reveal scoliosis sooner.
Choice B rationale
Scoliosis is not associated with childhood trauma. It's primarily idiopathic, meaning its cause is unknown, though genetics and growth factors are considered.
Choice C rationale
Children with scoliosis often do not report back pain. The condition is usually detected through physical exams or screenings rather than symptoms like pain.
Choice D rationale
The Adam's forward bend test is a common method for screening scoliosis, which involves the child bending forward at the waist with arms hanging down. This position highlights any abnormal curvature of the spine.
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Correct Answer is A
Explanation
Choice A rationale
Asking whether the imaginary person had a name can help determine if the child's imaginative play is typical for their age group. Preschool-aged children often engage in imaginative play, including conversations with imaginary friends, which is a normal part of cognitive and social development.
Choice B rationale
Temper tantrums are more related to behavioral issues rather than imaginative play. While relevant to the child's overall behavior, this question diverts attention from the specific concern about imaginary play.
Choice C rationale
This question could help identify if there are broader behavioral concerns, but it doesn't directly address the mother's specific worry about the imaginary friend. It is less targeted.
Choice D rationale
Understanding how well the child plays with others can provide insights into their social development, but it doesn't directly address the issue of imaginary play. It could be more pertinent as a follow-up question.
Correct Answer is ["B","C"]
Explanation
Choice A rationale
Methotrexate is an immunosuppressant and chemotherapeutic agent, not typically used for treating muscle spasms in cerebral palsy. It is primarily used for autoimmune conditions and certain cancers.
Choice B rationale
Baclofen is a muscle relaxant and antispasmodic agent commonly used to treat muscle spasms in patients with cerebral palsy. It works by acting on the central nervous system to reduce spasticity and improve motor function.
Choice C rationale
Diazepam is a benzodiazepine that can also be used to manage muscle spasms. It has a calming effect on the brain and nerves, helping to reduce muscle stiffness and spasms in patients with cerebral palsy.
Choice D rationale
Prednisone is a corticosteroid that is used for its anti-inflammatory properties. While it may be used in various inflammatory conditions, it is not typically prescribed for muscle spasms in cerebral palsy.