Question 1

A 13-year-old girl is diagnosed with functional scoliosis.What does the nurse explain as the cause of this spinal curvature defect?

Accepted Answer

A)  Juvenile rheumatoid arthritis 
B)  Poor posture 
C)  Heredity 
D)  Myelomeningocele 
A)  Juvenile rheumatoid arthritis 
B)  Poor posture 
C)  Heredity 
D)  Myelomeningocele

Question 2

On entering the room of a child in Buck traction,the nurse makes all of the following observations.Which observation requires a nursing intervention?

Accepted Answer

A)  Child's heels are placed firmly against the foot of the bed. 
B)  Head of bed is elevated 20 degrees. 
C)  Weights are hanging freely. 
D)  Ropes are on pulleys. 
A)  Child's heels are placed firmly against the foot of the bed. 
B)  Head of bed is elevated 20 degrees. 
C)  Weights are hanging freely. 
D)  Ropes are on pulleys.

Question 3

What instruction would the nurse provide to an adolescent who has been fitted with a Milwaukee brace?

Accepted Answer

A)  Wear the brace directly against the skin. 
B)  Wear the brace over regular clothing. 
C)  Wear the brace over a T-shirt 23 hours a day. 
D)  Remove the brace before sleeping. 
A)  Wear the brace directly against the skin. 
B)  Wear the brace over regular clothing. 
C)  Wear the brace over a T-shirt 23 hours a day. 
D)  Remove the brace before sleeping.

Question 4

Which intervention would be helpful in relieving morning discomfort associated with juvenile rheumatoid arthritis?

Accepted Answer

A)  Wearing splints at night to prevent extension contractures 
B)  Applying moist heat packs upon awakening 
C)  Taking a warm tub bath the evening before 
D)  Sleeping with two pillows under the head 
A)  Wearing splints at night to prevent extension contractures 
B)  Applying moist heat packs upon awakening 
C)  Taking a warm tub bath the evening before 
D)  Sleeping with two pillows under the head

Question 5

The nurse is reviewing the characteristics of Ewing's sarcoma.Which statement if made by the nurse indicates correct understanding of this disease?

Accepted Answer

A)  "Amputation is the accepted treatment." 
B)  "The disease is sensitive to radiation and chemotherapy." 
C)  "Metastasis is rare." 
D)  "The disease is more prevalent among toddlers and preschoolers." 
A)  "Amputation is the accepted treatment." 
B)  "The disease is sensitive to radiation and chemotherapy." 
C)  "Metastasis is rare." 
D)  "The disease is more prevalent among toddlers and preschoolers."

Question 6

What factor(s)may trigger abuse in a parent? (Select all that apply. )

Accepted Answer

A)  Being abused as a child 
B)  High self-esteem 
C)  Substance abuse 
D)  Overwhelming responsibility 
E)  Knowledge deficit relative to child care 
A)  Being abused as a child 
B)  High self-esteem 
C)  Substance abuse 
D)  Overwhelming responsibility 
E)  Knowledge deficit relative to child care

Question 7

What characteristic manifestation does the nurse caring for a child with Duchenne's muscular dystrophy document?

Accepted Answer

A)  Ambulates by holding onto furniture 
B)  Exhibits atrophy of the calf muscles 
C)  Falls frequently and is clumsy 
D)  Has delayed fine-motor development 
A)  Ambulates by holding onto furniture 
B)  Exhibits atrophy of the calf muscles 
C)  Falls frequently and is clumsy 
D)  Has delayed fine-motor development

Question 8

A child hospitalized for treatment of osteomyelitis complains that he is tired of being sick and wants to know when the antibiotic protocol will end.How long will the nurse indicate that antibiotic therapy will probably last?

Accepted Answer

A)  2 weeks 
B)  6 weeks 
C)  2 months 
D)  3 months 
A)  2 weeks 
B)  6 weeks 
C)  2 months 
D)  3 months

Question 9

The nurse explains that Bryant's traction is reserved for children who weigh less than _____ pounds.

Accepted Answer

30
Bryant's traction is a skin traction

Question 10

The nurse is checking for capillary refill on a child in Bryant's traction.How long does it take for the toe to regain color if adequate perfusion is assessed?

Accepted Answer

A)  3 seconds 
B)  4 seconds 
C)  5 seconds 
D)  6 seconds 
A)  3 seconds 
B)  4 seconds 
C)  5 seconds 
D)  6 seconds

Question 11

The nurse demonstrates which similarities among all traction devices? (Select all that apply. )

Accepted Answer

A)  Pull the limb into extension. 
B)  Decrease muscle spasm. 
C)  Reduce pain. 
D)  Align two bone fragments. 
E)  Immobilize the limb. 
A)  Pull the limb into extension. 
B)  Decrease muscle spasm. 
C)  Reduce pain. 
D)  Align two bone fragments. 
E)  Immobilize the limb.

Exam 24: The Child With a Musculoskeletal Condition

A 13-year-old girl is diagnosed with functional scoliosis.What does the nurse explain as the cause of this spinal curvature defect?

On entering the room of a child in Buck traction,the nurse makes all of the following observations.Which observation requires a nursing intervention?

What instruction would the nurse provide to an adolescent who has been fitted with a Milwaukee brace?

Which intervention would be helpful in relieving morning discomfort associated with juvenile rheumatoid arthritis?

The nurse is reviewing the characteristics of Ewing's sarcoma.Which statement if made by the nurse indicates correct understanding of this disease?

What factor(s)may trigger abuse in a parent? (Select all that apply. )

What characteristic manifestation does the nurse caring for a child with Duchenne's muscular dystrophy document?

A child hospitalized for treatment of osteomyelitis complains that he is tired of being sick and wants to know when the antibiotic protocol will end.How long will the nurse indicate that antibiotic therapy will probably last?

The nurse explains that Bryant's traction is reserved for children who weigh less than _____ pounds.

The nurse is checking for capillary refill on a child in Bryant's traction.How long does it take for the toe to regain color if adequate perfusion is assessed?

The nurse demonstrates which similarities among all traction devices? (Select all that apply. )

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women With Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women With Complications During Labor and Birth

The Family After Birth

Nursing Care of Women With Complications Following Birth

The Nurses Role in Womens Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn With a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

The Preschool Child

The School-Age Child

The Adolescent

The Childs Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child With a Sensory or Neurological Condition

The Child With a Respiratory Disorder

The Child With a Cardiovascular Disorder

The Child With a Condition of the Blood, Blood-Forming Organs, or Lymphatic System

The Child With a Gastrointestinal Condition

The Child With a Genitourinary Condition

The Child With a Skin Condition

The Child With a Metabolic Condition

Childhood Communicable Diseases, Bioterrorism, Natural Disasters, and the Maternalchild Patient

The Child With an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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