PEDIATRICS FINAL EXAM FINAL PAPER 2026
STUDY GUIDE DETAILED ANSWERS READY
◉ psychological effects of immobilization.
Answer: Diminished environmental stimuli
Altered perception of self and environment
Increased feelings of frustration, helplessness, anxiety
Depression, anger, aggressive behavior
Developmental regression
◉ Which of the following would be the most
appropriate play activity for a 3-year-old child in a spica cast,
considering both safety and
development?
A.
Marbles
B.
Game of checkers
C.
Coloring with crayons
,D.
Playing with toy telephone.
Answer: D
◉ What would be most concerning assessment
finding in a child with a newly placed femur
cast?
A.
The skin under the cast itches.
B.
Toes of the affected limb are warm and mobile.
C.
The toes feel like they are asleep.
D.
The cast edges are warm to touch..
Answer: C
◉ Cerebral Palsy Etiology.
Answer: Any perinatal or neonatal brain lesion or brain
maldevelopment,
regardless of the cause, may be linked to as many as 80% of the
total cases of CP
,Prenatal/postnatal infection
Prenatal/postnatal
hypoxia/asphyxia
Often no identifiable immediate cause
Preterm birth of ELBW and VLBW is single most important
determinant of CP
Anoxia—most common cause of brain damage
whenever
it occurs
◉ Possible signs of CP.
Answer: Poor head control after
age 3 months
Stiff or rigid limbs
Arching back/pushing
away
Floppy tone
Unable to sit without
support at age 8 months
Clenched fists after age 3
months
Excessive irritability
, No smiling by age 3
months
Feeding difficulties
◉ Nursing care for CP.
Answer: Reinforce therapeutic
plan
Assist in normalization
Address health
maintenance needs
Family support
Advocate for continued
therapy of the
hospitalized child with CP
◉ Goals of CP therapy.
Answer: To establish locomotion, communication, and self-help
skills
To gain optimal appearance and integration of motor functions
To correct associated defects as effectively as possible
To provide educational opportunities adapted to the child's
capabilities
STUDY GUIDE DETAILED ANSWERS READY
◉ psychological effects of immobilization.
Answer: Diminished environmental stimuli
Altered perception of self and environment
Increased feelings of frustration, helplessness, anxiety
Depression, anger, aggressive behavior
Developmental regression
◉ Which of the following would be the most
appropriate play activity for a 3-year-old child in a spica cast,
considering both safety and
development?
A.
Marbles
B.
Game of checkers
C.
Coloring with crayons
,D.
Playing with toy telephone.
Answer: D
◉ What would be most concerning assessment
finding in a child with a newly placed femur
cast?
A.
The skin under the cast itches.
B.
Toes of the affected limb are warm and mobile.
C.
The toes feel like they are asleep.
D.
The cast edges are warm to touch..
Answer: C
◉ Cerebral Palsy Etiology.
Answer: Any perinatal or neonatal brain lesion or brain
maldevelopment,
regardless of the cause, may be linked to as many as 80% of the
total cases of CP
,Prenatal/postnatal infection
Prenatal/postnatal
hypoxia/asphyxia
Often no identifiable immediate cause
Preterm birth of ELBW and VLBW is single most important
determinant of CP
Anoxia—most common cause of brain damage
whenever
it occurs
◉ Possible signs of CP.
Answer: Poor head control after
age 3 months
Stiff or rigid limbs
Arching back/pushing
away
Floppy tone
Unable to sit without
support at age 8 months
Clenched fists after age 3
months
Excessive irritability
, No smiling by age 3
months
Feeding difficulties
◉ Nursing care for CP.
Answer: Reinforce therapeutic
plan
Assist in normalization
Address health
maintenance needs
Family support
Advocate for continued
therapy of the
hospitalized child with CP
◉ Goals of CP therapy.
Answer: To establish locomotion, communication, and self-help
skills
To gain optimal appearance and integration of motor functions
To correct associated defects as effectively as possible
To provide educational opportunities adapted to the child's
capabilities
