Question

A nurse is caring for a toddler who has spastic (pyramidal) cerebral palsy: True/ False Which of the following findings should the nurse expect? (Select all that apply: True/ False)

a) Negative Babinski reflex
b) Ankle clonus
c) Exaggerated stretch reflexes
d) Uncontrollable movements of the face
e) Contractures

Answer 1

In spastic cerebral palsy, the nurse should expect a positive Babinski sign, ankle clonus, exaggerated stretch reflexes, and contractures. Uncontrollable facial movements are not typical of spastic cerebral palsy.

Step-by-step explanation:

True/False: A nurse caring for a toddler with spastic (pyramidal) cerebral palsy should expect the following findings:

• False - Negative Babinski reflex: In spastic cerebral palsy, there would likely be a positive Babinski sign, indicating upper motor neuron dysfunction.
• True - Ankle clonus: This is a rhythmic, oscillating motion that can be seen in spastic cerebral palsy, indicative of upper motor neuron lesions.
• True - Exaggerated stretch reflexes: Spastic cerebral palsy, being a form of upper motor neuron lesion, often presents with hyperreflexia.
• False - Uncontrollable movements of the face: This symptom is more commonly associated with non-spastic forms of cerebral palsy, like dyskinetic cerebral palsy.
• True - Contractures: Persistent spasticity can lead to contractures, which are permanent tightenings of the muscles.