Which statements made by the parent indicate that appropriate care is being provided to a 4-year-old who has spastic type cerebral palsy? (Select All that Apply.)

Choice A rationale Encouraging independence through play and daily activities is crucial for children with spastic cerebral palsy. This promotes neuroplasticity, strengthens neural pathways, and enhances motor planning and execution, which helps to mitigate the effects of spasticity and improve functional outcomes. It fosters self-efficacy and adaptive skills. Choice B rationale Using adaptive equipment such as utensils with large, padded handles provides a wider grip surface, compensating for limited fine motor control and spasticity. This biomechanical advantage reduces the effort required for grasping and manipulating, promoting self-feeding and enhancing independence in activities of daily living. Choice C rationale Carbidopa is a decarboxylase inhibitor used to enhance the efficacy of levodopa in Parkinson's disease by preventing its peripheral metabolism. It does not directly reduce drooling, which is often managed with anticholinergic medications like glycopyrrolate or scopolamine to decrease salivary secretions, or with Botox injections into salivary glands. Choice D rationale Regular range of motion exercises are critical for individuals with spastic cerebral palsy to prevent contractures. Spasticity leads to sustained muscle contraction and shortening, and consistent stretching helps maintain joint flexibility, preserves muscle length, and reduces the likelihood of permanent deformities, thereby improving mobility and comfort. Choice E rationale Limiting interactions with peers can negatively impact a child's social-emotional development and cognitive growth. Children with cerebral palsy benefit from social engagement, which fosters communication skills, emotional regulation, and adaptive behaviors, despite potential challenges with motor control or communication. Social isolation is detrimental to development.