Question 1

Patient and parent education for the child who has a synthetic cast should include which of the following?

Accepted Answer

A)  Applying a heating pad to the cast if the child has swelling in the affected extremity 
B)  Wrapping the outer surface of the cast with an Ace bandage 
C)  Splitting the cast if the child complains of numbness or pain 
D)  Covering the cast with plastic and waterproof tape to keep it dry while bathing or showering 
A)  Applying a heating pad to the cast if the child has swelling in the affected extremity 
B)  Wrapping the outer surface of the cast with an Ace bandage 
C)  Splitting the cast if the child complains of numbness or pain 
D)  Covering the cast with plastic and waterproof tape to keep it dry while bathing or showering

Question 2

Which statement by the mother of an adolescent being discharged after spinal fusion for severe scoliosis indicates the need for further teaching?

Accepted Answer

A)  "I am glad we chose surgery. Now it is all over and done." 
B)  "I'll see you in a month; we'll be back fairly regularly." 
C)  "I have to pick up some more T-shirts on the way home." 
D)  "Those exercises the physical therapist showed us were not too hard." 
A)  "I am glad we chose surgery. Now it is all over and done." 
B)  "I'll see you in a month; we'll be back fairly regularly." 
C)  "I have to pick up some more T-shirts on the way home." 
D)  "Those exercises the physical therapist showed us were not too hard."

Question 3

Which statement is accurate concerning a child's musculoskeletal system and how it may be different from an adult's?

Accepted Answer

A)  Growth occurs in children as a result of an increase in the number of muscle fibers. 
B)  Infants are at greater risk for fractures because their epiphyseal plates are not fused. 
C)  Because soft tissues are resilient in children, dislocations and sprains are less common than in adults. 
D)  Their bones have less blood flow. 
A)  Growth occurs in children as a result of an increase in the number of muscle fibers. 
B)  Infants are at greater risk for fractures because their epiphyseal plates are not fused. 
C)  Because soft tissues are resilient in children, dislocations and sprains are less common than in adults. 
D)  Their bones have less blood flow.

Question 4

A neonate is born with mild clubfeet.When the parents ask the nurse how this will be corrected,what response by the nurse is best?

Accepted Answer

A)  Traction is tried first. 
B)  Surgical intervention is needed. 
C)  Frequent, serial casting is tried first. 
D)  Children outgrow this condition when they learn to walk. 
A)  Traction is tried first. 
B)  Surgical intervention is needed. 
C)  Frequent, serial casting is tried first. 
D)  Children outgrow this condition when they learn to walk.

Question 5

When providing education for the parents of a child with Duchenne muscular dystrophy,the nurse plans to include

Accepted Answer

A)  testing all female children for the disease. 
B)  testing the father for the presence of the trait on the Y chromosome. 
C)  genetic counseling for all female children. 
D)  testing the parents to determine the carrier. 
A)  testing all female children for the disease. 
B)  testing the father for the presence of the trait on the Y chromosome. 
C)  genetic counseling for all female children. 
D)  testing the parents to determine the carrier.

Question 6

A child is in skeletal traction.Which interventions should the nurse implement to prevent complications of immobility? (Select all that apply.)

Accepted Answer

A)  Reposition the child every 2 hours. 
B)  Avoid use of an egg-crate or sheepskin mattress. 
C)  Limit fluid intake. 
D)  Administer stool softeners as prescribed. 
E)  Encourage coughing and deep breathing. 
A)  Reposition the child every 2 hours. 
B)  Avoid use of an egg-crate or sheepskin mattress. 
C)  Limit fluid intake. 
D)  Administer stool softeners as prescribed. 
E)  Encourage coughing and deep breathing.

Question 7

What is the most appropriate intervention for an adolescent with a mild scoliosis?

Accepted Answer

A)  Long-term monitoring 
B)  Surgical intervention 
C)  Bracing 
D)  No follow-up 
A)  Long-term monitoring 
B)  Surgical intervention 
C)  Bracing 
D)  No follow-up

Question 8

When assessing a child for an upper extremity fracture,the nurse should know that these fractures most often result from

Accepted Answer

A)  automobile crashes. 
B)  falls. 
C)  physical abuse. 
D)  sports injuries. 
A)  automobile crashes. 
B)  falls. 
C)  physical abuse. 
D)  sports injuries.

Question 9

In caring for a child with an open fracture,the nurse should carefully assess for

Accepted Answer

A)  infection. 
B)  osteoarthritis. 
C)  epiphyseal disruption. 
D)  periosteum thickening. 
A)  infection. 
B)  osteoarthritis. 
C)  epiphyseal disruption. 
D)  periosteum thickening.

Question 10

Which term is used to describe an abnormally increased convex angulation in the curvature of the thoracic spine?

Accepted Answer

A)  Scoliosis 
B)  Ankylosis 
C)  Lordosis 
D)  Kyphosis 
A)  Scoliosis 
B)  Ankylosis 
C)  Lordosis 
D)  Kyphosis

Question 11

A 6-year-old patient who has been placed in skeletal traction has pain,edema,and fever.The nurse should assess which of the following?

Accepted Answer

A)  Neurologic status 
B)  Range of motion of all extremities 
C)  Warmth at site of pain 
D)  Blood pressure 
A)  Neurologic status 
B)  Range of motion of all extremities 
C)  Warmth at site of pain 
D)  Blood pressure

Question 12

A boy who has fractured his forearm is unable to extend his fingers.The nurse knows that this

Accepted Answer

A)  is normal following this type of injury. 
B)  may indicate compartment syndrome. 
C)  may indicate fat embolism. 
D)  may indicate damage to the epiphyseal plate. 
A)  is normal following this type of injury. 
B)  may indicate compartment syndrome. 
C)  may indicate fat embolism. 
D)  may indicate damage to the epiphyseal plate.

Question 13

A child with osteomyelitis asks the nurse,"What is a 'sed' rate?" What is the best response for the nurse?

Accepted Answer

A)  "It tells us how you are responding to the treatment." 
B)  "It tells us what type of antibiotic you need." 
C)  "It tells us whether we need to immobilize your extremity." 
D)  "It tells us how your nerves and muscles are doing." 
A)  "It tells us how you are responding to the treatment." 
B)  "It tells us what type of antibiotic you need." 
C)  "It tells us whether we need to immobilize your extremity." 
D)  "It tells us how your nerves and muscles are doing."

Question 14

Which factor is important to include in the teaching plan for parents of a child with Legg-Calvé-Perthes disease?

Accepted Answer

A)  It is an acute illness lasting 1 to 2 weeks. 
B)  It affects primarily adolescents. 
C)  There is a disturbance in the blood supply to the femoral epiphysis. 
D)  It is caused by a virus. 
A)  It is an acute illness lasting 1 to 2 weeks. 
B)  It affects primarily adolescents. 
C)  There is a disturbance in the blood supply to the femoral epiphysis. 
D)  It is caused by a virus.

Question 15

During a well-child visit,the nurse identifies that an 18-month-old infant is bowlegged.What action by the nurse is most appropriate?

Accepted Answer

A)  Assess the infant's diet history. 
B)  Document the finding in the chart. 
C)  Facilitate a referral to an orthopedist. 
D)  Perform further assessment of the musculoskeletal system. 
A)  Assess the infant's diet history. 
B)  Document the finding in the chart. 
C)  Facilitate a referral to an orthopedist. 
D)  Perform further assessment of the musculoskeletal system.

Question 16

When assessing the child with osteogenesis imperfecta,the nurse should expect to observe

Accepted Answer

A)  discolored teeth. 
B)  below-normal intelligence. 
C)  increased muscle tone. 
D)  above-average stature. 
A)  discolored teeth. 
B)  below-normal intelligence. 
C)  increased muscle tone. 
D)  above-average stature.

Question 17

A child is upset because,when the cast is removed from her leg,the skin surface is caked with desquamated skin and sebaceous secretions.What should the nurse suggest to remove this material?

Accepted Answer

A)  Wash the area with warm water and soap. 
B)  Vigorously scrub the leg. 
C)  Apply powder to absorb the material. 
D)  Carefully pick the material off the leg. 
A)  Wash the area with warm water and soap. 
B)  Vigorously scrub the leg. 
C)  Apply powder to absorb the material. 
D)  Carefully pick the material off the leg.

Exam 50: The Child with a Musculoskeletal Alteration

Patient and parent education for the child who has a synthetic cast should include which of the following?

Which statement by the mother of an adolescent being discharged after spinal fusion for severe scoliosis indicates the need for further teaching?

Which statement is accurate concerning a child's musculoskeletal system and how it may be different from an adult's?

A neonate is born with mild clubfeet.When the parents ask the nurse how this will be corrected,what response by the nurse is best?

When providing education for the parents of a child with Duchenne muscular dystrophy,the nurse plans to include

A child is in skeletal traction.Which interventions should the nurse implement to prevent complications of immobility? (Select all that apply.)

What is the most appropriate intervention for an adolescent with a mild scoliosis?

When assessing a child for an upper extremity fracture,the nurse should know that these fractures most often result from

In caring for a child with an open fracture,the nurse should carefully assess for

Which term is used to describe an abnormally increased convex angulation in the curvature of the thoracic spine?

A 6-year-old patient who has been placed in skeletal traction has pain,edema,and fever.The nurse should assess which of the following?

A boy who has fractured his forearm is unable to extend his fingers.The nurse knows that this

A child with osteomyelitis asks the nurse,"What is a 'sed' rate?" What is the best response for the nurse?

Which factor is important to include in the teaching plan for parents of a child with Legg-Calvé-Perthes disease?

During a well-child visit,the nurse identifies that an 18-month-old infant is bowlegged.What action by the nurse is most appropriate?

When assessing the child with osteogenesis imperfecta,the nurse should expect to observe

A child is upset because,when the cast is removed from her leg,the skin surface is caked with desquamated skin and sebaceous secretions.What should the nurse suggest to remove this material?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating with Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion During Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family with Special Needs

Pregnancy-Related Complications

Concurrent Disorders during Pregnancy

The Woman with an Intrapartum Complication

The Woman with a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High-Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s HealthCare

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child with a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child with a Fluid and Electrolyte Alteration

The Child with an Infectious Disease

The Child with an Immunologic Alteration

The Child with a Gastrointestinal Alteration

The Child with a Genitourinary Alteration

The Child with a Respiratory Alteration

The Child with a Cardiovascular Alteration

The Child with a Hematologic Alteration

The Child with Cancer

The Child with an Alteration in Tissue Integrity

The Child with an Endocrine or Metabolic Alteration

The Child with a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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