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evolve wong 31&32
test 4 neuromuscular
| Question | Answer |
|---|---|
| What is a secondary effect when a child experiences decreased muscle strength, tone, and endurance from immobilization | Decreased exercise tolerance |
| Which measure is important in managing hypercalcemia in a child who is immobilized | Promote adequate hydration |
| The nurse is caring for an immobilized preschool child. What is helpful during this period of immobilization | Take the child for a "walk" by wagon outside the room. |
| What is the rationale for elevating an extremity after a soft tissue injury such as a sprained ankle | Elevation reduces edema formation. |
| What is characteristic of fractures in children | Rapidity of healing is inversely related to the child's age |
| The callus that develops at a fracture site is important because it provides | means for holding bone fragments together. |
| A 3-year-old has just returned from surgery in a hip spica cast. The priority nursing intervention is to | check circulation, sensation, and motion of toes |
| An adolescent has had a lower leg amputation secondary to a motorcycle accident and is complaining of pain in the missing extremity. The nurse should recognize that this is | normal and called phantom limb sensation |
| An infant is born with one lower limb deficiency. When is the optimum time for the child to be fitted with a prosthetic device | When the infant is developmentally ready to stand up |
| What is an appropriate nursing intervention when caring for the child with chronic osteomyelitis | Move and turn the child carefully and gently to minimize pain. |
| Which statement is the most descriptive of rhabdomyosarcoma | The most common sites are the head and neck |
| What are considered major goals of the therapeutic management of juvenile rheumatoid arthritis (JRA) | Prevent physical deformity; preserve joint function |
| A nurse is caring for an infant with developmental dysplasia of the hip (DDH). Based on the nurses knowledge of DDH, which clinical manifestation should the nurse expect to observe | Asymmetric thigh and gluteal folds, Positive Ortolani and Barlow tests, Shortening of limb on affected side |
| Cerebral palsy (CP) may result from a variety of causes. It is now known that the most common cause of CP is | prenatal brain abnormalities |
| The major goal of therapy for children with cerebral palsy (CP) is | recognizing the disorder early and promoting optimal development. |
| A 3-year-old has cerebral palsy (CP) and is hospitalized for surgery. The child’s mother states the child has difficulty swallowing and holding a utensil. What is the most appropriate action r/t feeding | Stabilize the child’s jaw with one hand to facilitate swallowing. |
| An 8-year-old has been dx with moderate cerebral palsy (CP). The child recently began participation in a regular classroom. The child’s mother asks the nurse about joining the a Scout troop. The nurse's response should be | after-school activities provide children with CP with opportunities for socialization and recreation. |
| A neural tube defect that is not visible externally in the lumbosacral area would be called | spina bifida occulta. |
| A woman who is 6 weeks pregnant tells the nurse that she is worried her baby might have spina bifida because of a family history. What should the nurse's response be | The concentration of afp in amniotic fluid may indicate the presence of the defect prenatally. |
| A 6-year-old child born with a myelomeningocele has a neurogenic bladder. The parents have been performing clean intermittent catheterization. What should the nurse recommend | Teach the child to do self-catheterization. |
| What most accurately describes bowel function in children born with a myelomeningocele | Some degree of fecal continence can usually be achieved. |
| What is important when caring for a child with myelomeningocele in the preoperative stage | Measure the head circumference and examine the fontanels for signs that might indicate developing hydrocephalus. |
| A child with spina bifida has developed a latex allergy from numerous bladder catheterizations and surgeries. A priority nursing intervention is to | provide a latex-free environment. |
| Which statement best describes Duchenne muscular dystrophy (DMD) | DMD is characterized by muscle weakness, usually beginning at about age 3 years. |