Week 6 NURS 307
The nurse is caring for a 4-year-old child immobilized by a fractured hip. Which
complication would the nurse monitor related to the child's immobilization status? -
answer Venous stasis leading to thrombi or emboli formation
Which can result from the bone demineralization associated with immobility? - answer
Osteoporosis
A young girl has just injured her ankle at school. In addition to calling the child's parents,
which is an immediate action by the school nurse? - answer Apply ice.
A 10-year-old sustained a fracture in the epiphyseal plate of her right fibula from a fall.
When discussing this injury with her parents, the nurse would consider which
statement? - answer Growth can be affected by this type of fracture.
The nurse is conducting teaching to parents of a 7-year-old child who fractured an arm
and is being discharged with a cast. Which instruction would be included in the
teaching? - answerElevate casted arm when resting and when sitting up.
Which is an appropriate nursing intervention when caring for a child in traction? -
answerAssess for tightness, weakness, or contractures in uninvolved joints and
muscles.
The nurse is teaching a family how to care for their infant in a Pavlik harness to treat
developmental dysplasia of the hip. Which would be included? - answerDo not make
adjustments on the harness.
A neonate is born with bilateral mild talipes equinovarus (clubfoot). When the parents
ask the nurse how this will be corrected, the nurse would give which explanation? -
answerFrequent, serial casting is tried first.
A 4-year-old child is newly diagnosed with Legg-Calvé-Perthes disease. Nursing
considerations would include which action? - answerTeaching the family the importance
of activity restrictions
The nurse is taking care of an adolescent diagnosed with kyphosis. Which describes
this condition? - answerIncreased convex angulation in the curve of the thoracic spine
During which period of child development does idiopathic scoliosis become most
noticeable? - answerPreadolescent growth spurt
,The nurse is preparing an adolescent with scoliosis for a spinal surgical instrumentation
placement procedure. Which consideration would the nurse include? - answerA chest
tube and urinary catheter may be required.
The nurse is caring for an infant with developmental dysplasia of the hip. Which clinical
manifestations would the nurse expect to observe? (Select all that apply.)
a. Positive Ortolani click
b. Unequal gluteal folds
c. Negative Babinski sign
d. Trendelenburg sign
e. Telescoping of the affected limb - answera. Positive Ortolani click
b. Unequal gluteal folds
An adolescent with juvenile idiopathic arthritis (JIA) is prescribed methotrexate. Which
would the nurse teach the adolescent regarding this medication? (Select all that apply.)
a. Avoid receiving live immunizations while taking the medication.
b. All forms of alcohol must be avoided.
c. Sexually active teens need birth control.
d. Cushingoid features are likely to occur. - answera. Avoid receiving live immunizations
while taking the medication.
b. All forms of alcohol must be avoided.
c. Sexually active teens need birth control.
The nurse is caring for a preschool child with a cast applied recently for a fractured tibia.
Which assessment findings indicate possible compartment syndrome? (Select all that
apply.)
a. Palpable distal pulse
b. Capillary refill to extremity less than 3 seconds
c. Severe pain not relieved by analgesics
d. Tingling of extremity
e. Inability to move extremity - answerc. Severe pain not relieved by analgesics
d. Tingling of extremity
e. Inability to move extremity
The parents of a child with cerebral palsy ask the nurse whether any drugs can
decrease their child's spasticity. The nurse's response would be based on which
statement? - answerImplantation of a pump to deliver medication into the intrathecal
space to decrease
spasticity.
The nurse is preparing to admit a newborn with myelomeningocele to the neonatal
intensive care nursery. Which describes this newborn's defect? - answerVisible defect
with an external saclike protrusion containing meninges, spinal
, fluid, and nerves
The nurse is conducting a staff in-service on common problems associated with
myelomeningocele. Which common problem is associated with this defect? -
answerHydrocephalus
How much folic acid is recommended for women of childbearing age? - answer0.4 mg
A 4-year-old child has just been diagnosed with pseudohypertrophic (Duchenne)
muscular dystrophy. The management plan would include which action? -
answerRecommend genetic counseling.
The nurse is conducting reflex testing on infants at a well-child clinic. Which reflex
finding would be reported as abnormal and considered as a possible sign of cerebral
palsy? - answerExtensor reflex at 7 months of age
The nurse is caring for an infant with myelomeningocele scheduled for surgical closure
in the morning. Which intervention would the nurse plan for the care of the
myelomeningocele sac? - answerCovered with a sterile, moist, nonadherent dressing
Which assessment findings would the nurse note in a school-age child with Duchenne
muscular dystrophy (DMD)? (Select all that apply.)
a. Lordosis
b. Gower sign
c. Kyphosis
d. Scoliosis
e. Waddling gait - answera. Lordosis
b. Gower sign
e. Waddling gait
The nurse is conducting discharge teaching to parents of a preschool child with
myelomeningocele,(repaired at birth), being discharged from the hospital after a urinary
tract infection (UTI). Which would the nurse include in the discharge instructions related
to management of the child's genitourinary function? (Select all that apply.) - answera.
Continue to perform the clean intermittent catheterizations (CIC) at home.
e. Administer furosemide (Lasix) as prescribed.
Which early signs of infection would the nurse monitor on an infant with
myelomeningocele? (Select all that apply.)
a. Temperature instability
b. Irritability
c. Lethargy
d. Bradycardia
e. Hypertension - answera. Temperature instability
The nurse is caring for a 4-year-old child immobilized by a fractured hip. Which
complication would the nurse monitor related to the child's immobilization status? -
answer Venous stasis leading to thrombi or emboli formation
Which can result from the bone demineralization associated with immobility? - answer
Osteoporosis
A young girl has just injured her ankle at school. In addition to calling the child's parents,
which is an immediate action by the school nurse? - answer Apply ice.
A 10-year-old sustained a fracture in the epiphyseal plate of her right fibula from a fall.
When discussing this injury with her parents, the nurse would consider which
statement? - answer Growth can be affected by this type of fracture.
The nurse is conducting teaching to parents of a 7-year-old child who fractured an arm
and is being discharged with a cast. Which instruction would be included in the
teaching? - answerElevate casted arm when resting and when sitting up.
Which is an appropriate nursing intervention when caring for a child in traction? -
answerAssess for tightness, weakness, or contractures in uninvolved joints and
muscles.
The nurse is teaching a family how to care for their infant in a Pavlik harness to treat
developmental dysplasia of the hip. Which would be included? - answerDo not make
adjustments on the harness.
A neonate is born with bilateral mild talipes equinovarus (clubfoot). When the parents
ask the nurse how this will be corrected, the nurse would give which explanation? -
answerFrequent, serial casting is tried first.
A 4-year-old child is newly diagnosed with Legg-Calvé-Perthes disease. Nursing
considerations would include which action? - answerTeaching the family the importance
of activity restrictions
The nurse is taking care of an adolescent diagnosed with kyphosis. Which describes
this condition? - answerIncreased convex angulation in the curve of the thoracic spine
During which period of child development does idiopathic scoliosis become most
noticeable? - answerPreadolescent growth spurt
,The nurse is preparing an adolescent with scoliosis for a spinal surgical instrumentation
placement procedure. Which consideration would the nurse include? - answerA chest
tube and urinary catheter may be required.
The nurse is caring for an infant with developmental dysplasia of the hip. Which clinical
manifestations would the nurse expect to observe? (Select all that apply.)
a. Positive Ortolani click
b. Unequal gluteal folds
c. Negative Babinski sign
d. Trendelenburg sign
e. Telescoping of the affected limb - answera. Positive Ortolani click
b. Unequal gluteal folds
An adolescent with juvenile idiopathic arthritis (JIA) is prescribed methotrexate. Which
would the nurse teach the adolescent regarding this medication? (Select all that apply.)
a. Avoid receiving live immunizations while taking the medication.
b. All forms of alcohol must be avoided.
c. Sexually active teens need birth control.
d. Cushingoid features are likely to occur. - answera. Avoid receiving live immunizations
while taking the medication.
b. All forms of alcohol must be avoided.
c. Sexually active teens need birth control.
The nurse is caring for a preschool child with a cast applied recently for a fractured tibia.
Which assessment findings indicate possible compartment syndrome? (Select all that
apply.)
a. Palpable distal pulse
b. Capillary refill to extremity less than 3 seconds
c. Severe pain not relieved by analgesics
d. Tingling of extremity
e. Inability to move extremity - answerc. Severe pain not relieved by analgesics
d. Tingling of extremity
e. Inability to move extremity
The parents of a child with cerebral palsy ask the nurse whether any drugs can
decrease their child's spasticity. The nurse's response would be based on which
statement? - answerImplantation of a pump to deliver medication into the intrathecal
space to decrease
spasticity.
The nurse is preparing to admit a newborn with myelomeningocele to the neonatal
intensive care nursery. Which describes this newborn's defect? - answerVisible defect
with an external saclike protrusion containing meninges, spinal
, fluid, and nerves
The nurse is conducting a staff in-service on common problems associated with
myelomeningocele. Which common problem is associated with this defect? -
answerHydrocephalus
How much folic acid is recommended for women of childbearing age? - answer0.4 mg
A 4-year-old child has just been diagnosed with pseudohypertrophic (Duchenne)
muscular dystrophy. The management plan would include which action? -
answerRecommend genetic counseling.
The nurse is conducting reflex testing on infants at a well-child clinic. Which reflex
finding would be reported as abnormal and considered as a possible sign of cerebral
palsy? - answerExtensor reflex at 7 months of age
The nurse is caring for an infant with myelomeningocele scheduled for surgical closure
in the morning. Which intervention would the nurse plan for the care of the
myelomeningocele sac? - answerCovered with a sterile, moist, nonadherent dressing
Which assessment findings would the nurse note in a school-age child with Duchenne
muscular dystrophy (DMD)? (Select all that apply.)
a. Lordosis
b. Gower sign
c. Kyphosis
d. Scoliosis
e. Waddling gait - answera. Lordosis
b. Gower sign
e. Waddling gait
The nurse is conducting discharge teaching to parents of a preschool child with
myelomeningocele,(repaired at birth), being discharged from the hospital after a urinary
tract infection (UTI). Which would the nurse include in the discharge instructions related
to management of the child's genitourinary function? (Select all that apply.) - answera.
Continue to perform the clean intermittent catheterizations (CIC) at home.
e. Administer furosemide (Lasix) as prescribed.
Which early signs of infection would the nurse monitor on an infant with
myelomeningocele? (Select all that apply.)
a. Temperature instability
b. Irritability
c. Lethargy
d. Bradycardia
e. Hypertension - answera. Temperature instability
