Maternity and Pediatrics Ricci, Kyle
and Carman- Ch 44
1. An 8-12 months-old girl became diagnosed with a closed fracture of the radius at
approximately 2 p.M. The fracture was reduced in the emergency department and her arm
located in a forged. At eleven p.M. Her mother brings her back to the emergency branch due to
unrelenting ache that has no longer been relieved by using the prescribed narcotics. Which
action could be the priority?
A) Notifying the physician without delay
B) Applying ice
C) Elevating the arm
D) Giving extra ache remedy as ordered - ANS-Ans: A
Feedback:
The nurse need to notify the doctor without delay because the lady's signs are the conventional
signal of compartment syndrome. Immediate treatment is needed to prevent excessive swelling
and to hit upon neurovascular compromise as quickly as possible. The ice ought to be removed
and the arm added beneath the level of the coronary heart to facilitate whatever stream is gift.
Giving extra pain medicine will not assist in this example.
1. The nurse is coaching the mother of a five-12 months-antique boy with a myelomeningocele
who has evolved a sensitivity to latex. Which of the following responses from his mother
indicates a want for in addition coaching?
A) "He wishes to get a clinical alert identification."
B) "I will need to discuss this along with his caregivers."
C) "A product's label indicates whether it's far latex-loose."
D) "He ought to keep away from all touch with latex." - ANS-Ans: C
Feedback:
The Food and Drug Administration (FDA) calls for that all clinical substances be categorised if
they contain latex, however this is not the case with patron products. The mom have to be
acquainted with merchandise that include latex. The Spina Bifida Association of America
maintains an up to date listing of latex-containing products. Getting a scientific alert
identification, speakme together with his caregivers, and heading off all touch with latex are
accurate.
10. The nurse is worrying for an little one with osteogenesis imperfecta and is offering practise
on how to reduce the risk of injury. Which response from the mother indicates a need for in
addition teaching?
A) "I need to keep away from pushing or pulling on an arm or leg."
B) "I ought to cautiously lift the baby from under the armpits."
C) "I should now not bend an arm or leg into an awkward position."
,D) "We must keep away from lifting the legs by means of the ankles to alternate diapers." -
ANS-Ans: B
Feedback:
The nurse desires to emphasize that the mom have to now not carry a child or younger infant
with osteogenesis imperfecta from beneath the armpits as it could cause damage. Avoiding
pushing or pulling, no longer bending an arm or leg into a clumsy position, and averting lifting
the legs by way of the ankles are suitable responses.
10. The nurse is getting ready a coaching plan for a 10-year-antique female with
hyperthyroidism. Which of the subsequent would the nurse consist of in the plan?
A) Describing surgical procedure to put off an anterior pituitary tumor
B) Teaching her parents to provide injections of boom hormone
C) Explaining approximately the radioactive iodine procedure
D) Showing her dad and mom how to supply DDAVP intranasally
. - ANS-Ans: C
Feedback:
Explaining about the radioactive iodine system would be part of the coaching plan for a kid with
hyperthyroidism because this is a much less invasive type of remedy for the sickness.
Describing surgical treatment to cast off an anterior pituitary tumor might be included for a child
with hyperpituitarism. Teaching a discern to provide injections of growth hormone could be
suitable for a child with a boom hormone deficiency. Showing mother and father how to supply
DDAVP intranasally is suitable for a child with diabetes insipidus
10. The nurse is coaching a set of college students approximately myelinization in a baby.
Which declaration by means of the students shows that the teaching was a hit?
A) Myelinization is finished through 4 years of age.
B) The manner occurs in a head-to-toe fashion.
C) The velocity of nerve impulses slows as myelinization occurs.
D) Nerve impulses come to be much less unique in recognition with myelinization. - ANS-Ans: B
Feedback:
Myelinization takes place in a cephalocaudal, proximodistal manner and is completed by using
2 years of age. As myelinization proceeds, nerve impulses emerge as faster and extra correct.
11. The nurse is growing a teaching plan for a kid who is to have his solid removed. Which of
the following might the nurse most possibly encompass?
A) Applying petroleum jelly to the dry pores and skin
B) Rubbing the pores and skin vigorously to dispose of the useless skin
C) Soaking the vicinity in warm water each day
D) Washing the pores and skin with dilute peroxide and water - ANS-Ans: C
Feedback:
After a forged is eliminated, the kid and circle of relatives need to be informed to soak the place
in heat water every day to assist soften and cast off the dry flaky pores and skin. Moisturizing
lotion, no longer petroleum jelly, ought to be applied to the skin. Vigorous rubbing could
, traumatize the skin and should be avoided. Warm soapy water, now not dilute peroxide and
water, need to be used to scrub the place.
11. When developing the plan of take care of a child with cerebral palsy, which remedy would
the nurse count on as least likely?
A) Skeletal traction
B) Physical remedy
C) Orthotics
D) Occupational remedy - ANS-Ans: A
Feedback:
Skeletal traction would be the least likely treatment for a child with cerebral palsy. Physical
remedy, orthotics and braces, and occupational therapy are all common treatments used for
cerebral palsy.
Eleven. Which of the subsequent would the nurse assume to evaluate in a toddler with
hypothyroidism?
A) Nervousness
B) Heat intolerance
C) Smooth velvety pores and skin
D) Weight benefit - ANS-Ans: D
Feedback:
Hypothyroidism is manifested by weight benefit, fatigue, cold intolerance, and dry skin.
Nervousness, warmth intolerance, and easy velvety pores and skin are related to
hyperthyroidism.
12. A nurse is getting ready a application for a set of dad and mom about damage prevention.
Which of the subsequent might the nurse include as an critical contributing factor for cervical
backbone injury in a child?
A) Exposure to teratogens while in utero
B) Immaturity of the critical worried system
C) Increased mobility of the spine
D) Incomplete myelinization - ANS-Ans: C
Feedback:
Compared to the grownup, a infant's spine may be very cellular, specially in the cervical spine
location, ensuing in a better danger for cervical backbone damage. Exposure to teratogens in
utero may also lead to altered increase and development of the mind or spinal cord. Immaturity
of the vital fearful machine locations the toddler at threat for insults which could bring about
behind schedule motor talent attainment or cerebral palsy. Incomplete myelinization reflects the
dearth of motor control.
12. The parents of a infant with congenital adrenal hyperplasia bring the child to the emergency
department for assessment because the child has had continual vomiting. Which of the
subsequent could lead the nurse to suspect that the kid is experiencing an acute adrenal crisis?
A) Hypernatremia
and Carman- Ch 44
1. An 8-12 months-old girl became diagnosed with a closed fracture of the radius at
approximately 2 p.M. The fracture was reduced in the emergency department and her arm
located in a forged. At eleven p.M. Her mother brings her back to the emergency branch due to
unrelenting ache that has no longer been relieved by using the prescribed narcotics. Which
action could be the priority?
A) Notifying the physician without delay
B) Applying ice
C) Elevating the arm
D) Giving extra ache remedy as ordered - ANS-Ans: A
Feedback:
The nurse need to notify the doctor without delay because the lady's signs are the conventional
signal of compartment syndrome. Immediate treatment is needed to prevent excessive swelling
and to hit upon neurovascular compromise as quickly as possible. The ice ought to be removed
and the arm added beneath the level of the coronary heart to facilitate whatever stream is gift.
Giving extra pain medicine will not assist in this example.
1. The nurse is coaching the mother of a five-12 months-antique boy with a myelomeningocele
who has evolved a sensitivity to latex. Which of the following responses from his mother
indicates a want for in addition coaching?
A) "He wishes to get a clinical alert identification."
B) "I will need to discuss this along with his caregivers."
C) "A product's label indicates whether it's far latex-loose."
D) "He ought to keep away from all touch with latex." - ANS-Ans: C
Feedback:
The Food and Drug Administration (FDA) calls for that all clinical substances be categorised if
they contain latex, however this is not the case with patron products. The mom have to be
acquainted with merchandise that include latex. The Spina Bifida Association of America
maintains an up to date listing of latex-containing products. Getting a scientific alert
identification, speakme together with his caregivers, and heading off all touch with latex are
accurate.
10. The nurse is worrying for an little one with osteogenesis imperfecta and is offering practise
on how to reduce the risk of injury. Which response from the mother indicates a need for in
addition teaching?
A) "I need to keep away from pushing or pulling on an arm or leg."
B) "I ought to cautiously lift the baby from under the armpits."
C) "I should now not bend an arm or leg into an awkward position."
,D) "We must keep away from lifting the legs by means of the ankles to alternate diapers." -
ANS-Ans: B
Feedback:
The nurse desires to emphasize that the mom have to now not carry a child or younger infant
with osteogenesis imperfecta from beneath the armpits as it could cause damage. Avoiding
pushing or pulling, no longer bending an arm or leg into a clumsy position, and averting lifting
the legs by way of the ankles are suitable responses.
10. The nurse is getting ready a coaching plan for a 10-year-antique female with
hyperthyroidism. Which of the subsequent would the nurse consist of in the plan?
A) Describing surgical procedure to put off an anterior pituitary tumor
B) Teaching her parents to provide injections of boom hormone
C) Explaining approximately the radioactive iodine procedure
D) Showing her dad and mom how to supply DDAVP intranasally
. - ANS-Ans: C
Feedback:
Explaining about the radioactive iodine system would be part of the coaching plan for a kid with
hyperthyroidism because this is a much less invasive type of remedy for the sickness.
Describing surgical treatment to cast off an anterior pituitary tumor might be included for a child
with hyperpituitarism. Teaching a discern to provide injections of growth hormone could be
suitable for a child with a boom hormone deficiency. Showing mother and father how to supply
DDAVP intranasally is suitable for a child with diabetes insipidus
10. The nurse is coaching a set of college students approximately myelinization in a baby.
Which declaration by means of the students shows that the teaching was a hit?
A) Myelinization is finished through 4 years of age.
B) The manner occurs in a head-to-toe fashion.
C) The velocity of nerve impulses slows as myelinization occurs.
D) Nerve impulses come to be much less unique in recognition with myelinization. - ANS-Ans: B
Feedback:
Myelinization takes place in a cephalocaudal, proximodistal manner and is completed by using
2 years of age. As myelinization proceeds, nerve impulses emerge as faster and extra correct.
11. The nurse is growing a teaching plan for a kid who is to have his solid removed. Which of
the following might the nurse most possibly encompass?
A) Applying petroleum jelly to the dry pores and skin
B) Rubbing the pores and skin vigorously to dispose of the useless skin
C) Soaking the vicinity in warm water each day
D) Washing the pores and skin with dilute peroxide and water - ANS-Ans: C
Feedback:
After a forged is eliminated, the kid and circle of relatives need to be informed to soak the place
in heat water every day to assist soften and cast off the dry flaky pores and skin. Moisturizing
lotion, no longer petroleum jelly, ought to be applied to the skin. Vigorous rubbing could
, traumatize the skin and should be avoided. Warm soapy water, now not dilute peroxide and
water, need to be used to scrub the place.
11. When developing the plan of take care of a child with cerebral palsy, which remedy would
the nurse count on as least likely?
A) Skeletal traction
B) Physical remedy
C) Orthotics
D) Occupational remedy - ANS-Ans: A
Feedback:
Skeletal traction would be the least likely treatment for a child with cerebral palsy. Physical
remedy, orthotics and braces, and occupational therapy are all common treatments used for
cerebral palsy.
Eleven. Which of the subsequent would the nurse assume to evaluate in a toddler with
hypothyroidism?
A) Nervousness
B) Heat intolerance
C) Smooth velvety pores and skin
D) Weight benefit - ANS-Ans: D
Feedback:
Hypothyroidism is manifested by weight benefit, fatigue, cold intolerance, and dry skin.
Nervousness, warmth intolerance, and easy velvety pores and skin are related to
hyperthyroidism.
12. A nurse is getting ready a application for a set of dad and mom about damage prevention.
Which of the subsequent might the nurse include as an critical contributing factor for cervical
backbone injury in a child?
A) Exposure to teratogens while in utero
B) Immaturity of the critical worried system
C) Increased mobility of the spine
D) Incomplete myelinization - ANS-Ans: C
Feedback:
Compared to the grownup, a infant's spine may be very cellular, specially in the cervical spine
location, ensuing in a better danger for cervical backbone damage. Exposure to teratogens in
utero may also lead to altered increase and development of the mind or spinal cord. Immaturity
of the vital fearful machine locations the toddler at threat for insults which could bring about
behind schedule motor talent attainment or cerebral palsy. Incomplete myelinization reflects the
dearth of motor control.
12. The parents of a infant with congenital adrenal hyperplasia bring the child to the emergency
department for assessment because the child has had continual vomiting. Which of the
subsequent could lead the nurse to suspect that the kid is experiencing an acute adrenal crisis?
A) Hypernatremia
