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A school-age child has a fractured wrist with a Salter Harris Type II fracture, according to the
radiologist. What is true about this type of fracture? - (answer)There is a metaphyseal fragment
on the compression side of fracture.
A school-age child has a fractured wrist with a Salter Harris Type II fracture, according to the
radiologist. What is true about this type of fracture? - (answer)There is a metaphyseal fragment
on the compression side of fracture.
What will the primary care pediatric nurse practitioner elicit when obtaining a positive Barlow
maneuver when screening for developmental dysplasia of the hip? - (answer)Dislocation of an
unstable hip
What will the primary care pediatric nurse practitioner elicit when obtaining a positive Barlow
maneuver when screening for developmental dysplasia of the hip? - (answer)Dislocation of an
unstable hip
A 3-year-old child is brought to the clinic by a parent who reports that the child refuses to use the
right arm after being swung by both arms while playing. The child is sitting with the right arm
held slightly flexed and close to the body. There is no swelling or ecchymosis present. What will
the primary care pediatric nurse practitioner do? - (answer)Gently attempt a supination and
flexion technique.
,A 3-year-old child is brought to the clinic by a parent who reports that the child refuses to use the
right arm after being swung by both arms while playing. The child is sitting with the right arm
held slightly flexed and close to the body. There is no swelling or ecchymosis present. What will
the primary care pediatric nurse practitioner do? - (answer)Gently attempt a supination and
flexion technique.
A school-age child falls off a swing and suffers a closed fracture of the right clavicle. How will
this be managed? - (answer)Immobilization with a sling to support the affected extremity
A school-age child falls off a swing and suffers a closed fracture of the right clavicle. How will
this be managed? - (answer)Immobilization with a sling to support the affected extremity
A young adolescent reports chest pain associated with coughing and lifting. Physical
examination reveals tenderness over several ribs, radiating to the back. Auscultation of the heart,
lungs, and abdomen are normal. There is no history of injury. What will the primary care
pediatric nurse practitioner do? - (answer)Recommend NSAIDs, stretching exercises, and ice
packs to the area.
A young adolescent reports chest pain associated with coughing and lifting. Physical
examination reveals tenderness over several ribs, radiating to the back. Auscultation of the heart,
lungs, and abdomen are normal. There is no history of injury. What will the primary care
pediatric nurse practitioner do? - (answer)Recommend NSAIDs, stretching exercises, and ice
packs to the area.
,A young adolescent female is observed to have mild unequal scapula prominences on gross
examination while standing. In the Adams forward bending position, this inequality disappears.
What will the primary care pediatric nurse practitioner do? - (answer)Discuss posture and
exercise and ask about backpacks and books.
A young adolescent female is observed to have mild unequal scapula prominences on gross
examination while standing. In the Adams forward bending position, this inequality disappears.
What will the primary care pediatric nurse practitioner do? - (answer)Discuss posture and
exercise and ask about backpacks and books.
The primary care pediatric nurse practitioner elicits positive Ortolani and Barlow signs in a 6-
month-old infant not previously noted in the medical record. What is the correct treatment? -
(answer)Surgical intervention
The primary care pediatric nurse practitioner elicits positive Ortolani and Barlow signs in a 6-
month-old infant not previously noted in the medical record. What is the correct treatment? -
(answer)Surgical intervention
A 14-year-old boy who is overweight develops a unilateral limp with pain in the hip and knee on
the affected side. An exam reveals external rotation of the hip when flexed and pain associated
with attempts to internally rotate the hip. What is most important initially when managing this
child's condition? - (answer)Place the child on crutches or in a wheelchair to prevent weight-
bearing.
, A 14-year-old boy who is overweight develops a unilateral limp with pain in the hip and knee on
the affected side. An exam reveals external rotation of the hip when flexed and pain associated
with attempts to internally rotate the hip. What is most important initially when managing this
child's condition? - (answer)Place the child on crutches or in a wheelchair to prevent weight-
bearing.
A parent is concerned that a 12-month-old child is "bowlegged." A physical examination reveals
internal tibial torsion bilaterally. A radiograph reveals asymmetric bowing of the legs with an
angle greater than 15 degrees. What is the correct action for the primary care pediatric nurse
practitioner? - (answer)Refer to a pediatric orthopedic specialist for treatment.
A parent is concerned that a 12-month-old child is "bowlegged." A physical examination reveals
internal tibial torsion bilaterally. A radiograph reveals asymmetric bowing of the legs with an
angle greater than 15 degrees. What is the correct action for the primary care pediatric nurse
practitioner? - (answer)Refer to a pediatric orthopedic specialist for treatment.
A child who plays soccer is in the clinic reporting pa in and swelling in both knees. A physical
examination reveals swelling and focal tenderness at the tibial tuberosities, with pain worsening
when asked to extend the knees against resistance. What is the treatment for this condition? -
(answer)Apply ice packs to both knees and avoid activities that cause pain.
A child who plays soccer is in the clinic reporting pa in and swelling in both knees. A physical
examination reveals swelling and focal tenderness at the tibial tuberosities, with pain worsening
when asked to extend the knees against resistance. What is the treatment for this condition? -
(answer)Apply ice packs to both knees and avoid activities that cause pain.