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ch_29

peds_ball

QuestionAnswer
Review the signs and symptoms of congenital hip dysplasia. Physical examination reveals Allis sign (one knee lower than other when knees flexed) & positive Ortolani-Barlow maneuver in babies under 8-12 wks old.
Review the care of a child who must wear a Pavlik harness. demonstrate proper application of harness & care of infant while in harness. Teach family members about daily care (bathing, dressing &feeding) of infant. Ideally harness is worn 23 hrs/day & removed only for skin checks & bathing.
List the signs and symptoms of scoliosis. Classic signs include truncal asymmetry, uneven shoulder & hip height, one-sided rib hump, and prominent scapula. Hip & back pain can result, and lung compromise can lead to fatigue or dyspnea with exertion (40 degrees curvature).
What Nursing Diagnosis should be included in the plan of care for a child with scoliosis who is being treated with a brace? Risk for impaired adjustment to the exercise program;Impaired physical mobility r/t brace - Risk for impaired skin integrity r/t brace;Ineffective breathing pattern; Health seeking behaviors;Risk for disturbed body image r/t condition & treatment
With what disease condition would blue sclera be associated? Osteogenesis imperfecta.
What nursing care should be provided to child with Osteogenesis imperfecta? . Children must be handled gently; trunk & extremities should be supported when child is moved. Encourage swimming to promote muscle tone & prevent obesity. Be alert for signs of infection such as osteomyelitis, respiratory or urinary tract infection
What Nursing Diagnoses would be appropriate for a child with Duchenne’s Muscular Dystrophy? Activity intolerance; Ineffective airway clearance; Fatigue; Impaired physical mobility
How should the school nurse treat an ankle sprain? for 1st 24-36 hours: Rest,Ice,Compression,Elevation; after 24-36 hours mobility gradually increased
Review the signs and symptoms of compartment syndrome Paresthesia, Pain, Pressure, Pallor,Paralysis, Pulselessness
Review the treatment of oteomyelitis. begins with IV broad spectrum antibiotics (Vancomycin, Clindamycin). Extended IV therapy at home may be used for 3-6 weeks. If adequate response is not obtained within 2-3 days area may be aspirated again or surgical drainage performed
List the instructions to be included in the education plan for the parents of a child with Legg-Calf-Perthes disease. Both child & family should be aware that treatment generally takes > 2years. Suggest activities such as horseback riding, swimming,hand-crafts, computer activities
How would a Pediatric Nurse provide care to a child in Bryant skin traction? Ensure that equipment is in proper position & child's body is in proper alignment; assess skin & neurovascular status frequently;provide pin care using sterile technique
Review the normal parental instructions for a child who has undergone surgical correction of congenital club-foot. skin & cast care