PEDS Chapter 33: Child with Musculoskeletal or Articular dysfunction

95. The nurse is teaching infant care to parents with an infant who has been diagnosed with osteogenesis imperfecta ( OI ) . What should the nurse include in the teaching session ?

" Lift the infant by the buttocks , not the ankles , when changing diapers . "

102. At which of the following ages is recommendation made by the American Academy of Pediatrics ( AAP ) , for pre - adolescent and adolescent females to be screened for Scoliosis ?

10-12

140. A child hospitalized with juvenile idiopathic PICU , arthritis ( JIA ) complains of pain in the knees What intervention should help to relieve the discomfort ?

Applying warm , moist compresses to the knees .

1. Which of the following is standard therapy used in the care of children with Osteogenesis Imperfecta ?

Bisphosphonate Therapy and physical therapy

The nurse is preparing an adolescent girl for surgery to treat scoliosis . What would the nurse include ?

Blood administration may be an option .

A child , age 10 years , sustained a fracture in the epiphyseal plate of her right fibula when she fell out of a tree . What does the nurse consider when discussing this injury with her parents ?

Bone growth can be affected by this type of fracture .

80. A child with juvenile idiopathic arthritis ( JIA ) is 90. started on a nonsteroidal anti - inflammatory drug ( NSAID ) . What nursing consideration should be included ?

Check for abdominal pain and bloody stools

Major goals for the therapeutic management of juvenile idiopathic arthritis ( JIA ) include ?

Control pain , preserve joint function Prevent skin breakdown , relieve symptoms Reduce joint discomfort , regain proper alignment

81. A child with juvenile idiopathic arthritis ( JIA ) is started on a nonsteroidal anti - inflammatory drug ( NSAID ) . What nursing consideration should be included ?

Give NSAIDS between meals .

60. The following symptoms describes which of the conditions listed below : Multiple fractures at birth , growth failure , autosomal recessive inheritance ?

Osteogenesis Imperfecta

97. What bone disorder of childhood is caused by an autosomal recessive defect in the synthesis of collagen ?

Osteogenesis imperfecta .

138. A 4 - year - old is seen in the ER with a fracture Congenital of the humerus . Which of the following P's are assessed to determine the extent of the child's injury ?

Pain and pulselessness .

66. Which of the following P's will the pediatric nurse assess on a 10 y.o male after a recent fracture of the femur to determine the extent of his injury ? Select all

Pallor , pain , paresthesia Puselessness & Paralysis

What is the appropriate term to describe an abnormal sensation such as burning or prickling ?

Paresthesia

109. A 10 y.o male with Legg - Calve Perthes Disease is seen by a pediatrician . The student nurse is aware ...

Partial weight bearing on the affected side , staging of the disease process , traction

The nurse is caring postoperatively for an 8 - year - old Contro child with multiple fractures and other traumatic injuries from a motor vehicle crash . The child is experiencing severe pain . What is an important consideration in managing the child's pain ?

Plan a preventive schedule of pain medication around the clock .

The nurse stops to assist a child who has been hit by a car while riding a bicycle . Someone has activated the emergency medical system . Until paramedics arrive , the nurse would consider what in caring for this child who has experienced severe trauma ?

Rapid assessment should begin with ABC status : airway , breathing , and circulation .

A 10 yr old male with Legg - Calve Perthes Disease is seen by the pediatrician . The student nurse is aware that management of this disease includes which of the following ?

Rest , staging of the disease process , traction

32. A 12 y.o child is seen in specialty clinic has ill fitting clothes , a rib hump and hip asymmetry , recently noticed by parents . Which of the following is the likely diagnosis of this child ?

Scoliosis

A 4 - year - old child is newly diagnosed with Legg Calvé - Perthes disease . Nursing considerations include what ?

Teach the family the care and management of the correce appliance

35. A 14 y.o is admitted to the emergency room with a fracture of the right humerus epiphyseal plate through the joint surface . What information does the nurse know regarding this type of fracture ?

This type of fracture requires different management to prevent bone growth complications

51. A 12 y.o is being treated with Buck's Traction . What are important nursing interventions for this client ?

Verify that the skin traction maintains the extremity in an extended position

What is an important nursing consideration when caring for a child with juvenile idiopathic arthritis ?

for a child with juvenile idiopathic Teach the child and family the correct administration of medications

33. Which of the following musculoskeletal disorders is associated with morning stiffness that improves with activity ?

improves Juvenile Idiopathic arthritis

108. A 3 - year - old child has a femoral shaft fracture . The nurse recognizes that the approximate healing time for this child is how long ?

4 weeks .

64. A 13 y.o male has a femoral shaft fracture . The nurse recognizes that the approximate healing time for this adolescent's fracture is how long ?

8-12 weeks

100. A 4 week old infant has a femoral shaft fracture . The nurse recognizes that the approximate healing time for this infant's fracture is how long

? 2 -3 weeks

115. The nurse is assisting with application of a synthetic cast on a child with a fractured humerus . What is an advantage of a synthetic cast over a plaster of Paris cast ?

Drying time is faster

70. When does idiopathic scoliosis become most noticeable ?

During the preadolescent growth spurt

After surgical repair of a fractured femur a 10 yr old has a long leg cast on . The toes on the child's cast leg are edematous , but has sensitivity , and movement . What action should the nurse take ?

Elevate the foot and leg on a pillow

128. A full - term male has hypospadias . Which statement describes hypospadias ?

The urethral meatus opens on the underside of the penis

A newborn with congenital clubfoot is being treated with serial casts .The parents ask why so many casts are required. What information is accurate for the nurse to provide to the family ?

They allow for gradual stretching of tight structures