NUR 307 - CHAPTER 44: NURSING CARE OF THE CHILD WITH
AN ALTERATION IN MOBILITY/NEUROMUSCULAR OR
MUSCULOSKELETAL DISORDER
1. The nurse is caring for a 10-year-old child in traction. After performing a skin
assessment, she notices that the skin over the calcaneus appears slightly red and
irritated. What should be the first intervention?
A. Apply lotion to the irritated area.
B. Reposition the child's foot on a pressure-reducing device.
C. Cover the area with a bandage.
D. Increase the child's fluid intake.
Correct Answer: B
Repositioning the child's foot on a pressure-reducing device is crucial to relieve
continuous pressure and prevent further skin breakdown.
2. The type of fracture often seen in young children in which there is not complete
ossification of the bone, causing the bone to bend and partially break, is called:
A. Comminuted fracture
B. Greenstick fracture
C. Spiral fracture
D. Compound fracture
Correct Answer: B
A Greenstick fracture is common in children due to incomplete ossification,
causing the bone to bend and partially break.
,3. The nurse is caring for a child diagnosed with Legg-Calvé-Perthes disease. What
is the most important nursing intervention for the nurse to include in working with
this child and his caregivers?
A. Encourage the child to rest and avoid all physical activity.
B. Teach the caregivers to apply heat to the affected area.
C. Help the caregivers understand and assist the child in using the corrective
devices.
D. Advise the child to perform strengthening exercises daily.
Correct Answer: C
Nursing care focuses on helping the child and caregivers manage the corrective
device to promote healing and prevent long-term disability.
4. The type of traction in which a pin, wire, tongs, or other device is surgically
inserted through a bone is:
A. Skin traction
B. Skeletal traction
C. Balanced suspension traction
D. Cervical traction
Correct Answer: B
Skeletal traction involves pulling directly on skeletal structures through a
surgically inserted device.
,5. A nurse is preparing a plan of care for an infant who has undergone surgery to
repair a myelomeningocele. The nurse would include placing the infant in which
positions postoperatively? (Select all that apply.)
A. Prone
B. Supine
C. Right side-lying
D. Left side-lying
Correct Answers: A, C, D
Postoperatively, the infant should be placed in prone or side-lying positions to
allow the incision to heal.
6. A nurse is assessing a newborn and observes webbing of the fingers and toes.
The nurse documents this finding as:
A. Polydactyly
B. Syndactyly
C. Metatarsus adductus
D. Pectus carinatum
Correct Answer: B
Syndactyly refers to webbing of the fingers and toes.
7. What will be the nurse's next action after noting dimpling and a tuft of hair
located in the lumbosacral area of a preschool child during examination?
, A. Recommend laser hair removal.
B. Record and refer the finding for follow-up to the pediatrician.
C. Advise the parents to keep the area clean.
D. Ignore the finding as it is a normal variant.
Correct Answer: B
Dimpling and a tuft of hair may indicate spina bifida occulta, warranting further
investigation.
8. The nurse receives a report on a child admitted with severe muscular dystrophy.
The nurse suspects the child has been diagnosed with the most severe form of the
disease, known as:
A. Becker muscular dystrophy
B. Myotonic dystrophy
C. Facioscapulohumeral muscular dystrophy
D. Duchenne muscular dystrophy
Correct Answer: D
Duchenne muscular dystrophy is the most severe form of the disease.
9. Which condition would alert the nurse that a child may be suffering from
muscular dystrophy?
A. Increased lumbar lordosis
B. Hypertonia
C. Spasticity of upper extremities
AN ALTERATION IN MOBILITY/NEUROMUSCULAR OR
MUSCULOSKELETAL DISORDER
1. The nurse is caring for a 10-year-old child in traction. After performing a skin
assessment, she notices that the skin over the calcaneus appears slightly red and
irritated. What should be the first intervention?
A. Apply lotion to the irritated area.
B. Reposition the child's foot on a pressure-reducing device.
C. Cover the area with a bandage.
D. Increase the child's fluid intake.
Correct Answer: B
Repositioning the child's foot on a pressure-reducing device is crucial to relieve
continuous pressure and prevent further skin breakdown.
2. The type of fracture often seen in young children in which there is not complete
ossification of the bone, causing the bone to bend and partially break, is called:
A. Comminuted fracture
B. Greenstick fracture
C. Spiral fracture
D. Compound fracture
Correct Answer: B
A Greenstick fracture is common in children due to incomplete ossification,
causing the bone to bend and partially break.
,3. The nurse is caring for a child diagnosed with Legg-Calvé-Perthes disease. What
is the most important nursing intervention for the nurse to include in working with
this child and his caregivers?
A. Encourage the child to rest and avoid all physical activity.
B. Teach the caregivers to apply heat to the affected area.
C. Help the caregivers understand and assist the child in using the corrective
devices.
D. Advise the child to perform strengthening exercises daily.
Correct Answer: C
Nursing care focuses on helping the child and caregivers manage the corrective
device to promote healing and prevent long-term disability.
4. The type of traction in which a pin, wire, tongs, or other device is surgically
inserted through a bone is:
A. Skin traction
B. Skeletal traction
C. Balanced suspension traction
D. Cervical traction
Correct Answer: B
Skeletal traction involves pulling directly on skeletal structures through a
surgically inserted device.
,5. A nurse is preparing a plan of care for an infant who has undergone surgery to
repair a myelomeningocele. The nurse would include placing the infant in which
positions postoperatively? (Select all that apply.)
A. Prone
B. Supine
C. Right side-lying
D. Left side-lying
Correct Answers: A, C, D
Postoperatively, the infant should be placed in prone or side-lying positions to
allow the incision to heal.
6. A nurse is assessing a newborn and observes webbing of the fingers and toes.
The nurse documents this finding as:
A. Polydactyly
B. Syndactyly
C. Metatarsus adductus
D. Pectus carinatum
Correct Answer: B
Syndactyly refers to webbing of the fingers and toes.
7. What will be the nurse's next action after noting dimpling and a tuft of hair
located in the lumbosacral area of a preschool child during examination?
, A. Recommend laser hair removal.
B. Record and refer the finding for follow-up to the pediatrician.
C. Advise the parents to keep the area clean.
D. Ignore the finding as it is a normal variant.
Correct Answer: B
Dimpling and a tuft of hair may indicate spina bifida occulta, warranting further
investigation.
8. The nurse receives a report on a child admitted with severe muscular dystrophy.
The nurse suspects the child has been diagnosed with the most severe form of the
disease, known as:
A. Becker muscular dystrophy
B. Myotonic dystrophy
C. Facioscapulohumeral muscular dystrophy
D. Duchenne muscular dystrophy
Correct Answer: D
Duchenne muscular dystrophy is the most severe form of the disease.
9. Which condition would alert the nurse that a child may be suffering from
muscular dystrophy?
A. Increased lumbar lordosis
B. Hypertonia
C. Spasticity of upper extremities
