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    Ati dmmsn 650 OBPediatrics Proctored Exams

    A 2-year-old child with cerebral palsy demonstrates muscle spasticity, difficulty walking, and delayed motor milestones. Which of the following nursing Interventions is most appropriate?

    Explanation & Rationale

    A. Restrict the child's diet to low-calorie foods to prevent obesity is incorrect because children with cerebral palsy are at risk for undernutrition due to feeding difficulties and increased energy expenditure from spasticity. Restricting calories could impair growth and development rather than prevent obesity, so diet should focus on balanced nutrition and adequate caloric intake. B. Encourage daily passive range-of-motion exercises is correct because spasticity and limited mobility in cerebral palsy can lead to contractures and joint deformities. Daily passive range-of-motion exercises help maintain joint flexibility, prevent contractures, promote circulation, and support functional mobility, which are critical in early intervention for children with cerebral palsy. C. Avoid physical therapy until the child can walk independently is incorrect because delaying therapy misses a critical window for neurodevelopmental intervention. Early and consistent physical therapy is essential to maximize motor function, improve strength, and prevent complications, regardless of the child’s ability to walk independently. D. Promote strict bed rest to prevent fatigue is incorrect because immobilization exacerbates muscle stiffness, spasticity, and joint contractures. Children with cerebral palsy benefit from structured activity and therapy, even if it induces mild fatigue, as this promotes motor skill development and overall function.

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