Pediatric Nursing-Musculoskeletal Dysfunction (Nursing V
2050 Maternity and Pediatric Community College of Rhode
Island) Questions With Complete Solutions
Clubfoot-Treatment Correct Answers Serial casting starting
shortly after birth, and repeated frequently
If normal alignment does not occur by 3 mos., then surgery at 6-
12 mos. of age
Nonsurgical approaches may be tried
DDH-Treatment >18 Months Correct Answers More difficult
to treat
Usually treated w/surgery, followed by casting, intense
rehabilitation
Not advisable > 6 yrs of age
DDH-Treatment 6-18 Months Correct Answers Traction x 3
wks, followed by closed reduction (open reduction, or surgery, if
hip is not reducible), then spica cast x 2-4 months
DDH-Treatment NB-6 Months Correct Answers Splinting
w/Pavlik harness
Centers the proximal femur in the acetabulum to reduce the
deformity
Maintains abduction
Occasionally need to use hip spica cast
Harness/cast is worn continuously until hip is stable, 3-6 mos
Parents need to be taught that harness can't be removed; infant
will need to be sponge-bathed, and skin checked under the straps
for signs of irritation; lotions/powders should be avoided
, Cast care instruction to parents
Keep it dry, look for redness and ulceration, hot spots,
compartment syndrome
Fractures in Children Correct Answers Rare in infants, except
with motor vehicle crashes (or abuse)
Clavicle is the most frequently broken bone in childhood,
especially in those <10 years old
School age: bike, sports injuries
Fractures-Manifestations Correct Answers Generalized
swelling
Pain or tenderness
Diminished functional use
May have bruising, severe muscular rigidity, crepitus
Muscle spasms are trying to hold bone in place.
Fractures-Nursing Consideration Correct Answers Frequent
neurovascular assessment (sensation, circulation, motion)
Pain control
Immobilization
History taking
Support to child/family
Risk for compartment syndrome
Juvenile Idiopathic Arthritis Correct Answers Chronic
inflammation of synovium with joint effusion, destruction of
cartilage, and ankylosis of joints as disease progresses
Juvenile Idiopathic Arthritis-Nursing Considerations Correct
Answers Therapy individualized to child
2050 Maternity and Pediatric Community College of Rhode
Island) Questions With Complete Solutions
Clubfoot-Treatment Correct Answers Serial casting starting
shortly after birth, and repeated frequently
If normal alignment does not occur by 3 mos., then surgery at 6-
12 mos. of age
Nonsurgical approaches may be tried
DDH-Treatment >18 Months Correct Answers More difficult
to treat
Usually treated w/surgery, followed by casting, intense
rehabilitation
Not advisable > 6 yrs of age
DDH-Treatment 6-18 Months Correct Answers Traction x 3
wks, followed by closed reduction (open reduction, or surgery, if
hip is not reducible), then spica cast x 2-4 months
DDH-Treatment NB-6 Months Correct Answers Splinting
w/Pavlik harness
Centers the proximal femur in the acetabulum to reduce the
deformity
Maintains abduction
Occasionally need to use hip spica cast
Harness/cast is worn continuously until hip is stable, 3-6 mos
Parents need to be taught that harness can't be removed; infant
will need to be sponge-bathed, and skin checked under the straps
for signs of irritation; lotions/powders should be avoided
, Cast care instruction to parents
Keep it dry, look for redness and ulceration, hot spots,
compartment syndrome
Fractures in Children Correct Answers Rare in infants, except
with motor vehicle crashes (or abuse)
Clavicle is the most frequently broken bone in childhood,
especially in those <10 years old
School age: bike, sports injuries
Fractures-Manifestations Correct Answers Generalized
swelling
Pain or tenderness
Diminished functional use
May have bruising, severe muscular rigidity, crepitus
Muscle spasms are trying to hold bone in place.
Fractures-Nursing Consideration Correct Answers Frequent
neurovascular assessment (sensation, circulation, motion)
Pain control
Immobilization
History taking
Support to child/family
Risk for compartment syndrome
Juvenile Idiopathic Arthritis Correct Answers Chronic
inflammation of synovium with joint effusion, destruction of
cartilage, and ankylosis of joints as disease progresses
Juvenile Idiopathic Arthritis-Nursing Considerations Correct
Answers Therapy individualized to child
