Chapter 22 Exam 1 Peds
The child with a surgically repaired myelomeningocele has a neurogenic bladder. How will the nurse best explain this problem to the parents?
"Old urine remains in the bladder because of poor emptying or overfilling, putting your child at risk for urinary tract infection."
What reflex response will the nurse consider abnormal when assessing the 8-month-old infant?
Brisk deep tendon
A child is to undergo testing for suspected muscular dystrophy and is scheduled for the following tests. Which test would the nurse identify as most important to be completed first?
Creatine kinase
A child with cerebral palsy is referred for physical therapy. When describing the rationale for this therapy, the nurse would emphasize which of the following as the primary goal?
Development of gross motor movement
The nurse is caring for an 8-month-old boy presenting with poor feeding, listlessness, and a weak cry. What assessment finding would lead the nurse to suspect a diagnosis of botulism?
Diminished gag reflex
Which of the following strategies would be the first choice in attempting to maximize function in a child with muscular dystrophy?
Long Leg Braces
A nurse is caring for an infant with spinal muscle atrophy (SMA) type 1. What will the nurse note when assessing the child?
Narrow chest and protuberant abdomen
Which diagnostic measure is most accurate in detecting neural tube defects?
Significant level of alpha-fetoprotein present in amniotic fluid
Parents of a preschooler with cerebral palsy ask the nurse what the surgeon plans to implant in their child's body to control spasticity. What is the nurse's answer?
bacflofen pump
Spina bifida occulta
common and usually benign
Muscular dystrophy is a result of which cause?
gene mutation
Which condition would alert the nurse that a child may be suffering from muscular dystrophy?
increased lumbar lordosis
The nurse caring for a client with suspected muscular dystrophy would prepare her client for which diagnostic test?
muscle biopsy
When a child is suspected of having muscular dystrophy, a nurse should expect which muscles to be affected first?
muscles of the HIP
muscular dystrophy difficulty doing what?
standing
How would the nurse best describe Gowers' sign to the parents of a child with muscular dystrophy?
transfer technique
