Question 1

A young boy has just been diagnosed with pseudohypertrophic (Duchenne)muscular dystrophy.What should the management plan include?

Accepted Answer

A)  Recommend genetic counselling. 
B)  Explain that the disease is easily treated. 
C)  Suggest ways to limit the use of his muscles. 
D)  Assist the family in finding a nursing facility to provide his care. 
A)  Recommend genetic counselling. 
B)  Explain that the disease is easily treated. 
C)  Suggest ways to limit the use of his muscles. 
D)  Assist the family in finding a nursing facility to provide his care. A

Question 2

The nurse is caring for a neonate born with a myelomeningocele.Surgery to repair the defect is scheduled for the next day.What is the most appropriate way to position and feed this neonate?

Accepted Answer

A)  Left lateral and tube feed 
B)  Prone, turn head to side, and nipple feed 
C)  Supine in infant carrier and nipple feed 
D)  Supine, with defect supported with rolled blankets, and nipple feed 
A)  Left lateral and tube feed 
B)  Prone, turn head to side, and nipple feed 
C)  Supine in infant carrier and nipple feed 
D)  Supine, with defect supported with rolled blankets, and nipple feed B

Question 3

The nurse is talking to a parent with a child who has a latex allergy.Which statement by the parent indicates she correctly understands the teaching?

Accepted Answer

A)  "My child will have an allergic reaction if he comes in contact with yeast products." 
B)  "My child may have an upset stomach if he eats foods made with wheat or barley." 
C)  "My child will probably develop an allergy to peanuts." 
D)  "My child should not eat bananas or kiwis." 
A)  "My child will have an allergic reaction if he comes in contact with yeast products." 
B)  "My child may have an upset stomach if he eats foods made with wheat or barley." 
C)  "My child will probably develop an allergy to peanuts." 
D)  "My child should not eat bananas or kiwis." D

Question 4

What is the most common problem for children born with a myelomeningocele?

Accepted Answer

A)  Neurogenic bladder 
B)  Cognitive impairment 
C)  Respiratory compromise 
D)  Cranioschisis 
A)  Neurogenic bladder 
B)  Cognitive impairment 
C)  Respiratory compromise 
D)  Cranioschisis

Question 5

Therapeutic management of a child with tetanus includes the administration of which one of the following?

Accepted Answer

A)  Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation 
B)  Muscle stimulants to counteract muscle weakness 
C)  Bronchodilators to prevent respiratory complications 
D)  Antibiotics to control bacterial proliferation at the site of injury 
A)  Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation 
B)  Muscle stimulants to counteract muscle weakness 
C)  Bronchodilators to prevent respiratory complications 
D)  Antibiotics to control bacterial proliferation at the site of injury

Question 6

What term is used for a hernial protrusion of a saclike cyst of meninges,spinal fluid,and a portion of the spinal cord with its nerves through a defect in the vertebral column?

Accepted Answer

A)  Rachischisis 
B)  Encephalocele 
C)  Meningocele 
D)  Myelomeningocele 
A)  Rachischisis 
B)  Encephalocele 
C)  Meningocele 
D)  Myelomeningocele

Question 7

The parents of a child with cerebral palsy ask the nurse if any drugs can decrease their child's spasticity.What knowledge should the nurse base his response on?

Accepted Answer

A)  Anticonvulsant medications are sometimes useful for controlling spasticity. 
B)  Medications that would be useful in reducing spasticity are too toxic for use in children. 
C)  Many different medications can be highly effective in controlling spasticity. 
D)  A pump can be implanted that delivers medication into the intrathecal space to decrease spasticity. 
A)  Anticonvulsant medications are sometimes useful for controlling spasticity. 
B)  Medications that would be useful in reducing spasticity are too toxic for use in children. 
C)  Many different medications can be highly effective in controlling spasticity. 
D)  A pump can be implanted that delivers medication into the intrathecal space to decrease spasticity.

Question 8

A 14-year-old girl is in the intensive care unit after a spinal cord injury 2 days ago.Which of the following should be included in nursing care for this child?

Accepted Answer

A)  Avoiding the use of diazepam. 
B)  Administering corticosteroids. 
C)  Minimizing environmental stimuli. 
D)  Discussing long-term care issues with the family. 
A)  Avoiding the use of diazepam. 
B)  Administering corticosteroids. 
C)  Minimizing environmental stimuli. 
D)  Discussing long-term care issues with the family.

Question 9

Which set of the following symptoms are characteristic of spastic cerebral palsy?

Accepted Answer

A)  Hypertonicity and poor control of posture, balance, and coordinated motion 
B)  Athetosis and dystonic movements 
C)  Wide-based gait and poor performance of rapid, repetitive movements 
D)  Tremors and lack of active movement 
A)  Hypertonicity and poor control of posture, balance, and coordinated motion 
B)  Athetosis and dystonic movements 
C)  Wide-based gait and poor performance of rapid, repetitive movements 
D)  Tremors and lack of active movement

Question 10

Which problem is most often associated with a myelomeningocele?

Accepted Answer

A)  Hydrocephalus 
B)  Craniosynostosis 
C)  Biliary atresia 
D)  Esophageal atresia 
A)  Hydrocephalus 
B)  Craniosynostosis 
C)  Biliary atresia 
D)  Esophageal atresia

Question 11

How much folic acid is recommended as a daily dose for women of childbearing age?

Accepted Answer

A)  0.1 mg 
B)  0.4 mg 
C)  1.5 mg 
D)  2 mg 
A)  0.1 mg 
B)  0.4 mg 
C)  1.5 mg 
D)  2 mg

Question 12

What clinical manifestation is suggestive of spinal muscular atrophy (Werdnig-Hoffmann disease)in an infant?

Accepted Answer

A)  Hyperactive deep tendon reflexes 
B)  Hypertonicity 
C)  Lying in the frog position 
D)  Motor deficits on one side of body 
A)  Hyperactive deep tendon reflexes 
B)  Hypertonicity 
C)  Lying in the frog position 
D)  Motor deficits on one side of body

Question 13

Which of the following supplements is recommended to prevent neural tube defects?

Accepted Answer

A)  Vitamin A throughout pregnancy 
B)  Multivitamin preparations as soon as pregnancy is suspected 
C)  Folic acid for all women of childbearing age 
D)  Folic acid during the first and second trimesters of pregnancy 
A)  Vitamin A throughout pregnancy 
B)  Multivitamin preparations as soon as pregnancy is suspected 
C)  Folic acid for all women of childbearing age 
D)  Folic acid during the first and second trimesters of pregnancy

Question 14

A latex allergy is suspected in a child with spina bifida.Which of the following is an appropriate nursing intervention?

Accepted Answer

A)  Avoid using any latex product. 
B)  Use only non-allergenic latex products. 
C)  Administer medication for long-term desensitization. 
D)  Teach the family about long-term management of asthma. 
A)  Avoid using any latex product. 
B)  Use only non-allergenic latex products. 
C)  Administer medication for long-term desensitization. 
D)  Teach the family about long-term management of asthma.

Exam 55: Neuromuscular or Muscular Dysfunction

A young boy has just been diagnosed with pseudohypertrophic (Duchenne)muscular dystrophy.What should the management plan include?

The nurse is caring for a neonate born with a myelomeningocele.Surgery to repair the defect is scheduled for the next day.What is the most appropriate way to position and feed this neonate?

The nurse is talking to a parent with a child who has a latex allergy.Which statement by the parent indicates she correctly understands the teaching?

What is the most common problem for children born with a myelomeningocele?

Therapeutic management of a child with tetanus includes the administration of which one of the following?

What term is used for a hernial protrusion of a saclike cyst of meninges,spinal fluid,and a portion of the spinal cord with its nerves through a defect in the vertebral column?

The parents of a child with cerebral palsy ask the nurse if any drugs can decrease their child's spasticity.What knowledge should the nurse base his response on?

A 14-year-old girl is in the intensive care unit after a spinal cord injury 2 days ago.Which of the following should be included in nursing care for this child?

Which set of the following symptoms are characteristic of spastic cerebral palsy?

Which problem is most often associated with a myelomeningocele?

How much folic acid is recommended as a daily dose for women of childbearing age?

What clinical manifestation is suggestive of spinal muscular atrophy (Werdnig-Hoffmann disease)in an infant?

Which of the following supplements is recommended to prevent neural tube defects?

A latex allergy is suspected in a child with spina bifida.Which of the following is an appropriate nursing intervention?

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

Health Promotion

Health Assessment

Reproductive Health

Infertility, contraception, and Abortion

Preconception, genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

Developmental Influences on Child Health Promotion

Communication, history, physical, and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological and Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

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