CH 21,35 (Health Promotion of the Infant/Muskuloskeletal Conditions)

Which nursing action is appropriate when assessing an infant for respiratory distress?

Inspecting for head bobbing

Which assessment data increase the risk for newborn airway compromise?

Large tongue

Which data obtained during an infant's health history interview cause the nurse to provide specific information about SIDS?

Smoking in the home

The nurse is providing care to a child who is diagnosed with Legg-Calve-Perthes disease. Which parental statement regarding the child's care indicates correct understanding of the information provided?

"We will encourage our child to swim in the pool for exercise."

Which parental statement causes the nurse to include further education related to the care of a child who is diagnosed with congenital clubfoot?

"We're happy this is the only cast out baby will need."

Which topic is the priority for the nurse who is teaching the family of an infant diagnosed with osteogenesis imperfecta?

Trunk and extremity support during everyday care

Which statement regarding infant physical growth patterns should the nurse share with the parents of an infant?

:Your baby will triple his birth weight by 12 months of age."

Which data cause the nurse to report to the charge nurse that an infant is experiencing moderate dehydration?

A decrease in urine output

Which data cause the nurse to provide the parents of an infant with education regarding colic?

Abdominal pain accompanied by crying 3 days per week

Which information should the nurse include in a teaching session for the parents of a child with a leg cast?

Elevate the casted extremity on pillows for at least the first 24 hours

Which nursing action is appropriate when providing care for a child who is in a spica cast to decrease the risk for cast syndrome?

Encouraging increased fluids and dietary fiber

Which is an example of an anthropometric measurement the nurse documents for the infant in the medical record?

Head circumference

Which immunization should the nurse plan to give prior to newborn discharge from the hospital?

Hepatitis B

Which statement regarding plotting anthropometric measurements indicates correct parental understanding?

"Height, weight, and BMI are monitored from 3 to 18 years of age."

Which parental statement indicates the need for further education regarding newborn safety?

"My baby doesn't require a hat unless I am wearing one also"

Which parental statement regarding the sleep needs of younger infant is accurate?

"My baby requires 22 to 23 hours of sleep each day"

Which parental statement indicates correct understanding regarding a type IV fracture of the femur?

"The break requires open reduction and internal fixation."

Which complementary therapy might the nurse encourage for an infant who is experiencing colic?

Herbal tea

Which assessment finding requires an immediate nursing action when providing care to an adolescent who is postoperative for spinal fusion surgery?

Impaired color, sensitivity, and movement of lower extremities

Which intervention should be included in the plan of care for an infant who is experiencing diaper rash?

Keeping the diaper area clean and dry

Which bone is a common location for musculoskeletal disorders during childhood?

Long

Which imaging test should the nurse anticipate for a patient whose provider wants to visualize hard and soft tissue along with bone marrow, without the use of radiation?

Magnetic resonance imaging

The nurse is assisting in the assessment process for a school-aged patient who reports groin pain all week. When assessing the right hip, the nurse finds that the hip does not fully rotate internally, and abduction is limited. On the basis of these data, which condition might the nurse suspect?

Slipped capital femoral epiphysis

Which data obtained by the nurse during the health history portion of the assessment process support the current diagnosis of Duchenne muscular dystrophy (MD) for an 18-month-old child?

The child seems very muscular

Which assessment finding for a toddler-aged child in balanced Bryant traction for a fractured right femur requires immediate action by the nurse?

The child's buttocks are resting on the bed

Which data does the licensed practical nurse (LPN) report to the charge nurse for an infant suspected of having unilateral congenital hip dysplasia?

Asymmetry of the gluteal and thigh fat folds

Which should the nurse include in a teaching session for the parents of an infant who will be placed in a Pavlik harness for the treatment of congenital development dysplasia?

Check at least two or three times a day for red areas under the straps

At which age should the nurse suggest introducing rice cereal to the infant's diet?

6 months

Which parental statement indicates understanding of methods to prevent newborn neurological injury?

"I should never shake my baby, even if she won't stop crying."

Which parental statement about newborn and infant stooling patterns indicates the need for further education?

"A breastfed baby will stool only once per day."

To prevent rickets, which calcium requirement should the nurse include in a teaching session for the parents of a later school-aged child?

1300 mg

Which action by the nurse is appropriate for a child who presents in the emergency department with an ankle injury?

Applying ice to the extremity