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Exam 2: NU170/ NU 170 (Latest 2025/ 2026 Update) Maternal-Child Nursing Review| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen

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Exam 2: NU170/ NU 170 (Latest 2025/ 2026 Update) Maternal-Child Nursing Review| Questions & Answers| Grade A| 100% Correct (Verified Solutions)- Galen QUESTION Differences in a child fracture vs. an adult fracture Answer: fractures heal more rapidly in children than adults Injury to growth plate during childhood can affect growth Fat emboli can occur from fractures - more common in adult QUESTION What type of fractures are very common in children Answer: greenstick fracture QUESTION What type of fracture in children is a red flag for abuse in children Answer: spiral fracture (especially in the femur), any fracture of lower extremities in an infant that is not mobile, multiple fractures at various stages of healing QUESTION What are the 5 P's of a neurovascular check Answer: Pain, pulse, pallor, paresthesia, paralysis QUESTION Describe care for weights and pulleys Answer: weights hang freely, weights out of reach of child, Ropes on the pulleys, Knots not resting against pulleys, bed linens not on traction ropes, countertraction in place, apparatus does not touch foot of bed QUESTION What is the first sign of compartment syndrome Answer: pain unrelieved by medication QUESTION Education for homecare of child in cast Answer: care of the cast and how to support the cast to prevent extremity from assuming a dependent position that could compromise circulation, child is taught how to transfer safely with the cast, check if cast is too tight or too lose, and when to return to clinic QUESTION Patho of scoliosis Answer: S-shaped curvature of the spine, during adolescence it is more common in girls, untreated progressive scoliosis can lead to back pain, fatigue, disability, and heart and lung complications, skeletal deterioration does not stop with maturity, may be aggravated by pregnancy QUESTION Describe screening of a child suspected of having scoliosis Answer: detection usually via a screening by school nurse, reveals shoulders are different heights, one-sided rip bump, prominent scapula, definitive dx by xray QUESTION When is scoliosis treated Answer: treatment aimed at correcting curvature, curve up to 20 degrees no tx, carefully followed with exercise, curves 20-40 require Milwaukee brace worn 16-23 hours/day, 45 degrees requires surgery QUESTION How is the skin protected from breakdown while a child is wearing a back brace Answer: Brace is worn over a t-shirt QUESTION Describe the types of JIA

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Examl 2:l NU170/l NUl 170l (Latestl 2025/l
2026l Update)l Maternal-Childl Nursingl
Review|l Questionsl &l Answers|l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Galen

Q:l Differencesl inl al childl fracturel vs.l anl adultl fracture

Answer:
fracturesl heall morel rapidlyl inl childrenl thanl adults
Injuryl tol growthl platel duringl childhoodl canl affectl growth
Fatl embolil canl occurl froml fracturesl -l morel commonl inl adult




Q:l Whatl typel ofl fracturesl arel veryl commonl inl children

Answer:
greenstickl fracture




Q:l Whatl typel ofl fracturel inl childrenl isl al redl flagl forl abusel inl children

Answer:
spirall fracturel (especiallyl inl thel femur),l anyl fracturel ofl lowerl extremitiesl inl anl infantl
thatl isl notl mobile,l multiplel fracturesl atl variousl stagesl ofl healing




Q:l Whatl arel thel 5l P'sl ofl al neurovascularl check

Answer:

,Pain,l pulse,l pallor,l paresthesia,l paralysis




Q:l Describel carel forl weightsl andl pulleys

Answer:
weightsl hangl freely,l weightsl outl ofl reachl ofl child,l Ropesl onl thel pulleys,l Knotsl notl
restingl againstl pulleys,l bedl linensl notl onl tractionl ropes,l countertractionl inl place,l
apparatusl doesl notl touchl footl ofl bed




Q:l Whatl isl thel firstl signl ofl compartmentl syndrome

Answer:
painl unrelievedl byl medication




Q:l Educationl forl homecarel ofl childl inl cast

Answer:
carel ofl thel castl andl howl tol supportl thel castl tol preventl extremityl froml assumingl al
dependentl positionl thatl couldl compromisel circulation,l childl isl taughtl howl tol transferl
safelyl withl thel cast,l checkl ifl castl isl tool tightl orl tool lose,l andl whenl tol returnl tol clinic




Q:l Pathol ofl scoliosis

Answer:
S-shapedl curvaturel ofl thel spine,l duringl adolescencel itl isl morel commonl inl girls,l
untreatedl progressivel scoliosisl canl leadl tol backl pain,l fatigue,l disability,l andl heartl andl
lungl complications,l skeletall deteriorationl doesl notl stopl withl maturity,l mayl bel
aggravatedl byl pregnancy

,Q:l Describel screeningl ofl al childl suspectedl ofl havingl scoliosis

Answer:
detectionl usuallyl vial al screeningl byl schooll nurse,l revealsl shouldersl arel differentl
heights,l one-sidedl ripl bump,l prominentl scapula,l definitivel dxl byl xray




Q:l Whenl isl scoliosisl treated

Answer:
treatmentl aimedl atl correctingl curvature,l curvel upl tol 20l degreesl nol tx,l carefullyl
followedl withl exercise,l curvesl 20-40l requirel Milwaukeel bracel wornl 16-23l hours/day,l
>45l degreesl requiresl surgery




Q:l Howl isl thel skinl protectedl froml breakdownl whilel al childl isl wearingl al backl brace

Answer:
Bracel isl wornl overl al t-shirt




Q:l Describel thel typesl ofl JIA

Answer:
Oligo-4l orl fewerl joints,l uveitisl inl 30%
polyarthritis-5l orl morel joints,l uveitisl inl 10%
Systemicl arthritis-wholel body,fever,rash,jointl inflammation,uveitisl inl 10%,abdominall
pain,elevatedl ESR




Q:l Whatl isl uveitis

, Answer:
inflammationl ofl thel eye




Q:l Systemicl Arthritis

Answer:
intermittentl spikingl ofl feverl (103)l forl morel thanl 10l days,l nonpruriticl macularl rash,l abl
pain,l elevatedl ESR,l C-reactivel protein,l antinuclearl antibodies,l possiblyl enlargedl spleenl
andl liver,l occursl inl childrenl 1-3l andl 8-10l mostl often




Q:l Treatmentsl forl JIA

Answer:
NSAIDs,l methotrexate,l steroids,l immunosuppressantsl suchl asl Etanercept,l adalimumab,l
canakinumab,l tocilizumab,l preventl infections,l monitoringl forl sidel effectsl andl uveitis,l
dietaryl managementl andl physicall therapy




Q:l Pathol ofl al patientl diagnosedl withl MD

Answer:
geneticl disorderl wherel progressivel musclel degenerationl occurs,l deathl ofl musclel fibers,l
childhoodl forml (Duchenne's)l isl mostl common,l occursl onlyl inl boys,l sex-linkedl recessivel
inheritedl disorder,l generallyl 2-6y




Q:l Whatl shouldl nursel expectl tol assessl inl al clientl withl MD

Answer:

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