Burns' Pediatric Primary Care 7th
Edition ch 7 Children with Special
Health Care Needs Questions with
Accurate Answers
A child born with Dandy Walker malformation is receiving palliative care in the pediatric
unit A nurse should:
a. Provide the parents, patient, and family members with supportive care during this
time
b. Ask the parents to be part of the plan of care as much as possible
c. Attempt to provide a primary nurse for this particular patient on each shift
d. All of the above are correct - ANSWERSD. All of the above are correct
A head circumference is being measured at a 4 month olds well-baby checkup. It is
noted that the head circumference has not grown since the previous assessment. The
nurse should:
a. Ask the mother about the child's nutrition
b. Notify the doctor
c. Re-measure the head circumference, check developmental milestones, assess the
nutritional status, and discuss the findings with the doctor
d. Document the normal findings - ANSWERSC. Re-measure the head circumference,
check developmental milestones, assess the nutritional status, and discuss the findings
with the doctor
A child with a diagnosis of schizencephaly is assigned to a new nurse on the pediatric
floor. The new nurse has not worked with a child with this diagnosis before. A career
nurse discusses the plan of care needed for the child with the new nurse. It will be
important to:
a. Assess the side of the body that has paralysis for any lesions or sores
b. Let the patient do as much as possible for activities of daily
c. Discourage the patient to move. the paralyzed side of the body
d. Provide full care for the patient - ANSWERSA. Assess the side of the body that has
paralysis for any lesions or sores
A nurse is assessing a 6-month-old boys suture lines. The nurse notes that the baby
has craniosynostosis. The nurse should be concerned because:
a. The suture line closure will not allow the brain to grow
b. This can lead to hydrocephalus
c. The child will have immediate developmental delays because of the lack of space for
the brain to grow
, d. The child will not require surgery - ANSWERSA. The suture line closure will not allow
the brain to grow
A child that had a shunt placed four years ago for hydrocephalus is in the emergency
room complaining of a rapid onset of vomiting and increased lethargy. The nurse knows
that the child will need:
a. Nothing, as this is a normal complication and not an emergency
b. To be placed on IV fluids to help maintain an electrolyte balance
c. Small amounts of fluids until the vomiting has subsided
d. To consider this a neurological medical emergency and check the Childs head
circumference - ANSWERSD. To consider this a neurological medical emergency and
check the Childs head circumference
Night terrors can occur in adolescents because of:
a. Emotional stress
b. Alcohol use
c. Bullying
d. All of the above can trigger night terrors in adolescents - ANSWERSD. All of the
above can trigger night terrors in adolescents
When speaking with a family about their 9-year-old daughters nightmares, it is important
to ask:
a. If the child has a history of daytime napping
b. What medications the child takes during the day
c. How often the child consumes caffeine
d. All of the above should be part of the assessment - ANSWERSD. All of the above
should be part of the assessment
A quality of a partial seizure is:
a. Status epilepticus
b. Tonic movements
c. Fluttering eyelids
d. Clonic movements - ANSWERSD. Clonic movements
A mother is asking the nurse why her daughter continues to have temporal lobe
seizures even though she is on medication. The nurse knows this is occurring because:
a. The medication may not be in the therapeutic range
b. Temporal lobe seizures do not respond well to medications
c. The daughter may be missing doses of her medication
d. The food her daughter eats may have a negative reaction with the medication,
causing more seizures - ANSWERSB. Temporal lobe seizures do not respond well to
medications
Which of the following types of epilepsy are photosensitive?
a. Juvenile myoclonic epilepsy
b. Temporal lobe epilepsy
Edition ch 7 Children with Special
Health Care Needs Questions with
Accurate Answers
A child born with Dandy Walker malformation is receiving palliative care in the pediatric
unit A nurse should:
a. Provide the parents, patient, and family members with supportive care during this
time
b. Ask the parents to be part of the plan of care as much as possible
c. Attempt to provide a primary nurse for this particular patient on each shift
d. All of the above are correct - ANSWERSD. All of the above are correct
A head circumference is being measured at a 4 month olds well-baby checkup. It is
noted that the head circumference has not grown since the previous assessment. The
nurse should:
a. Ask the mother about the child's nutrition
b. Notify the doctor
c. Re-measure the head circumference, check developmental milestones, assess the
nutritional status, and discuss the findings with the doctor
d. Document the normal findings - ANSWERSC. Re-measure the head circumference,
check developmental milestones, assess the nutritional status, and discuss the findings
with the doctor
A child with a diagnosis of schizencephaly is assigned to a new nurse on the pediatric
floor. The new nurse has not worked with a child with this diagnosis before. A career
nurse discusses the plan of care needed for the child with the new nurse. It will be
important to:
a. Assess the side of the body that has paralysis for any lesions or sores
b. Let the patient do as much as possible for activities of daily
c. Discourage the patient to move. the paralyzed side of the body
d. Provide full care for the patient - ANSWERSA. Assess the side of the body that has
paralysis for any lesions or sores
A nurse is assessing a 6-month-old boys suture lines. The nurse notes that the baby
has craniosynostosis. The nurse should be concerned because:
a. The suture line closure will not allow the brain to grow
b. This can lead to hydrocephalus
c. The child will have immediate developmental delays because of the lack of space for
the brain to grow
, d. The child will not require surgery - ANSWERSA. The suture line closure will not allow
the brain to grow
A child that had a shunt placed four years ago for hydrocephalus is in the emergency
room complaining of a rapid onset of vomiting and increased lethargy. The nurse knows
that the child will need:
a. Nothing, as this is a normal complication and not an emergency
b. To be placed on IV fluids to help maintain an electrolyte balance
c. Small amounts of fluids until the vomiting has subsided
d. To consider this a neurological medical emergency and check the Childs head
circumference - ANSWERSD. To consider this a neurological medical emergency and
check the Childs head circumference
Night terrors can occur in adolescents because of:
a. Emotional stress
b. Alcohol use
c. Bullying
d. All of the above can trigger night terrors in adolescents - ANSWERSD. All of the
above can trigger night terrors in adolescents
When speaking with a family about their 9-year-old daughters nightmares, it is important
to ask:
a. If the child has a history of daytime napping
b. What medications the child takes during the day
c. How often the child consumes caffeine
d. All of the above should be part of the assessment - ANSWERSD. All of the above
should be part of the assessment
A quality of a partial seizure is:
a. Status epilepticus
b. Tonic movements
c. Fluttering eyelids
d. Clonic movements - ANSWERSD. Clonic movements
A mother is asking the nurse why her daughter continues to have temporal lobe
seizures even though she is on medication. The nurse knows this is occurring because:
a. The medication may not be in the therapeutic range
b. Temporal lobe seizures do not respond well to medications
c. The daughter may be missing doses of her medication
d. The food her daughter eats may have a negative reaction with the medication,
causing more seizures - ANSWERSB. Temporal lobe seizures do not respond well to
medications
Which of the following types of epilepsy are photosensitive?
a. Juvenile myoclonic epilepsy
b. Temporal lobe epilepsy
