Pediatrics Quiz Questions: Musculoskeletal

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? Select one: a. "We will lift the baby by the buttocks when diapering." b. We will schedule follow-up appointments as instructed." c. "We will be very careful handling the baby." d. "We're glad there is a cure for this disorder."

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

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

Compound

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? Select one: a. Frequent, serial casting is tried first. b. Surgical intervention is needed. c. Children outgrow this condition when they learn to walk. d. Traction is tried first.

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? Select one: a. This type of fracture is inconsistent with a fall. b. This is an unusual fracture site in young children. c. Healing is usually delayed in this type of fracture. d. Growth can be affected by this type of fracture.

Growth can be affected by this type of fracture.

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

Incompatibility between the history and injury observed

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

Increased convex angulation in the curve of the thoracic spine

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

Lordosis, Gower sign, Waddling gait

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

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? Select one: a. Fat emboli b. Pulmonary emboli c. Osteomyelitis d. Urinary tract infection

Osteomyelitis

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.) Select one or more: a.Positive Ortolani click b.Negative Babinski sign c. Negative Barlow sign d.Trendelenburg sign e.Lordosis f.Unequal gluteal folds

Positive Ortolani click,Unequal gluteal folds

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? Select one: a. When child starts to walk b. Adolescence c. Preadolescent growth spurt d. Newborn period

Preadolescent growth spurt

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

Salter Harris 2

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? Select one: a. Sudden infant death syndrome (SIDS) b. Unintentional injury c. Shaken-baby syndrome d. Congenital neurologic problem

Shaken-baby syndrome

_________ 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. Select one: a. Developmental Dysplasia of the Hip b. Legg-Calve-Perthes c. Osteomyelitis d. Slipped Capital Femoral Epiphysis (SCFE)

Slipped Capital Femoral Epiphysis (SCFE)