Musculoskeletal

The nurse is caring for an infant with developmental dysplasia of the hip. Which clinical manifestations should the nurse expect to observe? (Select all that apply.) a.Positive Ortolani click b.Unequal gluteal folds c. Trendelenburg sign d. Lordosis e. Negative Barlow sign f.Negative Babinski sign

a,b

A fracture which breaks through the skin is called a _________ fracture. a. Compound b. Complicated c. Buckle d. Greenstick

a. Compound

Which is probably the most important criterion on which to base the decision to report suspected child abuse? a. Incompatibility between the history and injury observed b. Inappropriate response of child c. Absence of parents for questioning about child's injuries d. Inappropriate parental concern for the degree of injury

a. Incompatibility between the history and injury observed

A 3-month-old infant dies shortly after arrival to the emergency department. The infant has subdural and retinal hemorrhages but no external signs of trauma. What should the nurse suspect? a. Shaken-baby syndrome b. Congenital neurologic problem c. Unintentional injury d. Sudden infant death syndrome (SIDS)

a. Shaken-baby syndrome

Which assessment findings should the nurse note in a school-age child with Duchenne muscular dystrophy (DMD)? (Select all that apply.) a. Scoliosis b. Waddling gait c. Gower sign d. Lordosis e. Kyphosis

b,c,d

Which medication is usually tried first when a child is diagnosed with juvenile idiopathic arthritis (JIA)? a. Corticosteroids b. Nonsteroidal antiinflammatory drugs (NSAIDs) c. Cytotoxic drugs such as methotrexate d. Aspirin

b. Nonsteroidal antiinflammatory drugs (NSAIDs)

The client who had an open femoral fracture was discharged to her home, where she developed, fever, night sweats, chills, restlessness and restrictive movement of the fractured leg. The nurse interprets these finding as indicating which of the following? a. Urinary tract infection b. Osteomyelitis c. Fat emboli d. Pulmonary emboli

b. Osteomyelitis

A school nurse is conducting a staff in-service to other school nurses on idiopathic scoliosis. During which period of child development does idiopathic scoliosis become most noticeable? a. Adolescence b. Preadolescent growth spurt c. When child starts to walk d. Newborn period

b. Preadolescent growth spurt

What is the most common type of pediatric growth plate fracture? a. Salter Harris 1 b. Salter Harris 2 c. Complicated d. Greenstick

b. Salter Harris 2

Name 5 signs of child abuse or neglect.

bad hygiene, developmental delays, attempts of suicide, running away from home, malnourishment

_________ is a condition in which there is a spontaneous displacement of the proximal femoral epiphysis in a posterior and inferior direction and is considered a surgical emergency. a. Osteomyelitis b. Legg-Calve-Perthes c. Slipped Capital Femoral Epiphysis (SCFE) d. Developmental Dysplasia of the Hip

c. Slipped Capital Femoral Epiphysis (SCFE)

A nurse is conducting discharge teaching for parents of an infant with osteogenesis imperfecta (OI). Further teaching is indicated if the parents make which statement? a. We will schedule follow-up appointments as instructed." b. "We will be very careful handling the baby." c. "We will lift the baby by the buttocks when diapering." d. "We're glad there is a cure for this disorder."

d. "We're glad there is a cure for this disorder."

A neonate is born with bilateral mild talipes equinovarus (clubfoot). When the parents ask the nurse how this will be corrected, the nurse should give which explanation? a. Traction is tried first. b. Surgical intervention is needed. c. Children outgrow this condition when they learn to walk. d. Frequent, serial casting is tried first.

d. Frequent, serial casting is tried first.

Kristin, age 10 years, sustained a fracture in the epiphyseal plate of her right fibula when she fell off of a tree. When discussing this injury with her parents, the nurse should consider which statement? a. This is an unusual fracture site in young children. b. This type of fracture is inconsistent with a fall. c. Healing is usually delayed in this type of fracture. d. Growth can be affected by this type of fracture.

d. Growth can be affected by this type of fracture.

The nurse is taking care of an adolescent diagnosed with kyphosis. Which describes this condition? a. Exaggerated concave lumbar curvature of the spine b. Lateral curvature of the spine c. Immobility of the shoulder joint d. Increased convex angulation in the curve of the thoracic spine

d. Increased convex angulation in the curve of the thoracic spine

Name 3 of the risk factors commonly identified in child abuse.

mother/father with history of abuse, premature, behavioral disabilities

You suspect abuse or neglect of a child. What do you do? Explain what information should be included and in what time period.

report it by providing evidence of the abuse (pictures and detailed explanation if visible), dates/times of abuse/neglect, quotes from child, timing of report, history not consistent with injuries