Activity/Mobility M.O.C. 2525

What information should the nurse include when developing the teaching plan for the parents of a child with juvenile idiopathic arthritis who is treated with naproxen? A. anti-inflammatory effect will occur in approximately 8 weeks B. within 24 hours, the child will have anti-inflammatory relief C. the nurse should be called before giving the child any over-the-counter medications D. if a dose is forgotten or missed, that dose is not made up

C. the nurse should be called before giving the child any over-the-counter medications

The nurse is discharging a baby with clubfoot who has had a cast applied. The nurse should provide additional teaching to the parents if they make which statement? A. I should call if I see changes in the color of toes under the cast B I should use a pillow to elevate my child's foot as he sleeps C. My baby will need a series of casts to fix her foot D. having a cast should not prevent me from holding my baby

B I should use a pillow to elevate my child's foot as he sleeps Shouldn't be used due to the risks of SIDS

A nurse is making an initial visit to a family with a preschool child with early Duchenne's muscular dystrophy. Which assessment is an expected finding in this child? A. contractures of the large joints B. enlarged calf muscles C. difficulty riding a tyrcycle D. atrophied muscles

C. difficulty riding a tricycle Usually, the first clinical manifestations include difficulty age-appropriate physical activities

A child who limps and has pain has been found to have Legg-Calve-Perthes disease. What should the nurse expect to include in the plan of care? A. initiation of pain control measures, especially at night when acute B. promotion of ambulation despite child's discomfort in the affected hip C. prevention of flexion in the affected hip and knee D. avoidance of weight-bearing on the head of the affected femur

D. avoidance of weight-bearing on the head of the affected femur Avoidance of weight-bearing is especially important to prevent the head of the femur from leaving the acetabulum, thus preventing hip dislocation

The nurse conducts a developmental screening for a 15-month-old child with cerebral palsy. Which milestones would the nurse expect a typically developing toddler of this age to have achieved? A. walking up steps B. using a spoon C. copying a circle D. putting a block in a cup

D. putting a block in a cup 90% of typically developing 15-month-olds can put a block in a cup.

The nurse teaches the parents of an infant with developmental dysplasia of the hip how to handle their child in a Pavlik harness. Which care is most appropriate? A. Fit the diaper under the straps B. leave the harness off while the infant sleeps C. check for skin redness under straps every other day D. put powder on the skin under the straps every day

A. Fit the diaper under the straps The harness is worn over a diaper. Knee high socks are also worn to prevent the straps other pieces from rubbing directly on the skin.

A child is admitted with a fracture of the femur and placed in skeletal traction. What should the nurse assess first? A. the pull of traction on the pin B. the elastic bandage C. the pin sites for signs of infection D. the dressing for tightness

A. the pull traction on the pin skeletal traction applies the pull directly to the skeletal structure by tongs, pins, or wire. The nurse should assess the pull of the traction on the pin first. This is critical to the success of the traction

When teaching the family of an older infant with a spica cast applied for developmental dysplasia of the hip, which information should the nurse include when describing the abduction stabilizer bar? A. it can be adjusted to a position of comfort B. it is used to lift the child C. it adds strength to the cast D. It is necessary to turn the child

C. it adds strength to the cast The abductor bar is incorporated into the cast to increase the strength and maintain the legs in alignment

The nurse develops the plan of care for a child with early Duchenne's muscular dystrophy. What is the priority goal for this client? A. encourage early wheelchair use B. foster social interactions C. maintain function of unaffected muscles D. prevent circulatory impairment

C. maintain function of unaffected muscles Goals is to maintain the function of unaffected muscles for as long as possible.

When planning home care for a child with Legg-Calve-Perthes disease, what should be the primary focus for family teaching? A. need for intake of protein-rich foods B. gentle stretching exercises for both legs C. management of the corrective appliance D. relaxation techniques for pain control

C. management of the corrective appliance Because most of the childcare takes place at home