PEDIATRIC M/S Q&A
The child is admitted to the intensive care unit after suffering a spinal cord injury. The
primary health care provider prescribes an assessment of neurologic function. The
report suggests level D according to the American Spinal Injury Association Impairment
Scale. What explanation does the nurse expect the primary health care provider to give
to the parents? - (correct answer)"The motor functions are preserved in at least half of
the key muscles."
The callus that develops at the fracture site is important because it provides: - (correct
answer)means for holding bone fragments together.
A child has been recently diagnosed with cerebral palsy (CP), and the nurse is
explaining how to care for the child to the child's parents. What major areas should the
nurse focus on when speaking with the parents? Select all that apply. - (correct
answer)-Reinforce the therapeutic plan and activities necessary for the child.
-Provide guidance on devising and modifying equipment and activities
-Reinforce correct handling, home care, and role change from parent to caregiver.
Which statement best describes pseudohypertrophic (Duchenne) muscular dystrophy? -
(correct answer)It is characterized by muscle weakness usually beginning about 3 years
old
A nurse is caring for a young infant with developmental dysplasia of the hip (DDH).
Based on the nurse's knowledge of DDH, which clinical manifestation should the nurse
expect to observe? Select all that apply. - (correct answer)-Asymmetric thigh and gluteal
folds
-Positive Ortolani and Barlow tests
-Shortening of limb on affected side
A child has been recently diagnosed with rachischisis. The parents ask the nurse for an
explanation of this condition. What is the most appropriate response from the nurse? -
(correct answer)"There's a fissure in the spinal column that leaves the meninges and
spinal cord exposed."
, What is characteristic of fractures in children? - (correct answer)Rapidity of healing is
inversely related to the age of the child.
The pediatric clinic nurse completes an assessment on a 4-month-old infant brought in
because the parents are concerned that something is "just not right" with their baby. To
which assessment findings should the nurse alert the health care provider? - (correct
answer)Poor head control and clenched fists
What areas of initial care does the nurse provide for a newborn with spina bifida? Select
all that apply. - (correct answer)-Prevention of infection
-Neurologic assessment
-Impact of the anomaly on the family
-Anomalies of spinal bifida
The primary health care provider instructs the nurse to apply constraint-induced
movement therapy for a child with cerebral palsy (CP). What is the best way for the
nurse to approach using this therapy? - (correct answer)Constrain the stronger
extremity to force the weaker extremity to function.
The nurse is caring for a child with a hip spica cast. Which nursing interventions will be
beneficial to the child? Select all that apply. - (correct answer)-Change the child's
position every 2 hours
-Remove rings and any other accessories
-Check for any cuts or abrasions on skin
The nurse is explaining scoliosis to a 12-year-old boy who has been diagnosed with the
disease. What should the nurse emphasize? - (correct answer)Effect of the scoliosis on
the child's body image.
The child is admitted to the intensive care unit after suffering a spinal cord injury. The
primary health care provider prescribes an assessment of neurologic function. The
report suggests level D according to the American Spinal Injury Association Impairment
Scale. What explanation does the nurse expect the primary health care provider to give
to the parents? - (correct answer)"The motor functions are preserved in at least half of
the key muscles."
The callus that develops at the fracture site is important because it provides: - (correct
answer)means for holding bone fragments together.
A child has been recently diagnosed with cerebral palsy (CP), and the nurse is
explaining how to care for the child to the child's parents. What major areas should the
nurse focus on when speaking with the parents? Select all that apply. - (correct
answer)-Reinforce the therapeutic plan and activities necessary for the child.
-Provide guidance on devising and modifying equipment and activities
-Reinforce correct handling, home care, and role change from parent to caregiver.
Which statement best describes pseudohypertrophic (Duchenne) muscular dystrophy? -
(correct answer)It is characterized by muscle weakness usually beginning about 3 years
old
A nurse is caring for a young infant with developmental dysplasia of the hip (DDH).
Based on the nurse's knowledge of DDH, which clinical manifestation should the nurse
expect to observe? Select all that apply. - (correct answer)-Asymmetric thigh and gluteal
folds
-Positive Ortolani and Barlow tests
-Shortening of limb on affected side
A child has been recently diagnosed with rachischisis. The parents ask the nurse for an
explanation of this condition. What is the most appropriate response from the nurse? -
(correct answer)"There's a fissure in the spinal column that leaves the meninges and
spinal cord exposed."
, What is characteristic of fractures in children? - (correct answer)Rapidity of healing is
inversely related to the age of the child.
The pediatric clinic nurse completes an assessment on a 4-month-old infant brought in
because the parents are concerned that something is "just not right" with their baby. To
which assessment findings should the nurse alert the health care provider? - (correct
answer)Poor head control and clenched fists
What areas of initial care does the nurse provide for a newborn with spina bifida? Select
all that apply. - (correct answer)-Prevention of infection
-Neurologic assessment
-Impact of the anomaly on the family
-Anomalies of spinal bifida
The primary health care provider instructs the nurse to apply constraint-induced
movement therapy for a child with cerebral palsy (CP). What is the best way for the
nurse to approach using this therapy? - (correct answer)Constrain the stronger
extremity to force the weaker extremity to function.
The nurse is caring for a child with a hip spica cast. Which nursing interventions will be
beneficial to the child? Select all that apply. - (correct answer)-Change the child's
position every 2 hours
-Remove rings and any other accessories
-Check for any cuts or abrasions on skin
The nurse is explaining scoliosis to a 12-year-old boy who has been diagnosed with the
disease. What should the nurse emphasize? - (correct answer)Effect of the scoliosis on
the child's body image.
