Question 1

The nurse considers what factor(s) that may trigger abuse in a parent? Select all that apply.
A) Being abused as a child
B) Low self-esteem
C) Substance abuse
D) Overwhelming responsibility
E) Knowledge deficit relative to child care
F) None of the above

Accepted Answer

All options are possible triggers for a parent to become abusive.

Question 2

How does the pediatric skeletal system differ from that of the adult? Select all that apply.
A) Lower mineral content
B) More ossification
C) Open epiphyses
D) Less porosity
E) Greater strength

Accepted Answer

The child's skeletal system has less mineral content, greater porosity, open epiphyses, greater bone strength, and a thicker periosteum.

Question 3

The nurse demonstrates which similarities among all traction devices? Select all that apply.
A) Pull the limb into extension
B) Decrease muscle spasm
C) Reduce pain
D) Align two bone fragments
E) Immobilize the limb

Accepted Answer

Tractions are designed to immobilize and pull limbs into extension. Traction can also align broken bones and decrease muscle spasm. Although some traction devices may relieve pain, many may actually cause pain.

Question 4

A nurse assessing welts on the body of a 2-year-old Vietnamese child should consider the skin lesions might be the result of the cultural practice of __________.

Accepted Answer

The answer of A nurse assessing welts on the body...

Question 5

The nurse reminds the adolescent boy with Ewing's sarcoma that he is prohibited from vigorous weight-bearing activities during treatment with radiation to reduce the risk of a(n) _______________ fracture.

Accepted Answer

The answer of The nurse reminds the adolescent boy with...

Question 6

The nurse recognizes the signs of ____________________ syndrome in a child in "90-90" traction when the toes are pale and edematous and have a very slow capillary refill.

Accepted Answer

The answer of The nurse recognizes the signs of ____________________...

Question 7

The nurse performing a neurovascular check on a limb in traction would report and document which finding(s) as indicative of altered circulation? Select all that apply.
A) Pulse is equal to uncasted limb.
B) Patient is aware of touch and warm and cold application.
C) Limb is cool to the touch.
D) Capillary refill is 5 seconds.
E) Distal limb can flex and extend.

Accepted Answer

The limb should be warm, and capillary refill should be less than 3 seconds.

Question 8

The child with Duchenne's muscular dystrophy must push on his legs and "walk up the leg" in order to rise to a standing position. The nurse recognizes this characteristic behavior as _______________ maneuver.

Accepted Answer

The answer of The child with Duchenne's muscular dystrophy must...

Question 9

The nurse assesses a large green bruise on the thigh of a 4-year-old to be approximately ____ days old.
A) 2
B) 4
C) 6
D) 8

Accepted Answer

The answer of The nurse assesses a large green bruise...

Question 10

The nurse explains that Bryant's traction is reserved for children who weigh less than _____ pounds.

Accepted Answer

The answer of The nurse explains that Bryant's traction is...

Question 11

The nurse explains that the child's fracture heals more rapidly than the adult's because the child's bones:
A) are less porous than adult bone.
B) are covered by a thicker periosteum.
C) are not affected by bone overgrowth.
D) have faster callus formation.

Accepted Answer

Callus forms more rapidly in the child than the adult.

Question 12

On entering the room of a child in Buck's traction the nurse makes all of the following observations. The observation that requires nursing intervention is the:
A) child's heels are placed firmly against the foot of the bed.
B) head of bed is elevated 20 degrees.
C) weights are hanging freely.
D) ropes are on pulleys.

Accepted Answer

Buck's traction is dependent on the child as a counterweight. The heels should be elevated above the level of the foot of the bed.

Quiz 24: The Child with a Musculoskeletal Condition

The nurse considers what factor(s) that may trigger abuse in a parent? Select all that apply.

How does the pediatric skeletal system differ from that of the adult? Select all that apply.

The nurse demonstrates which similarities among all traction devices? Select all that apply.

A nurse assessing welts on the body of a 2-year-old Vietnamese child should consider the skin lesions might be the result of the cultural practice of __________.

The nurse reminds the adolescent boy with Ewing's sarcoma that he is prohibited from vigorous weight-bearing activities during treatment with radiation to reduce the risk of a(n) _______________ fracture.

The nurse recognizes the signs of ____________________ syndrome in a child in "90-90" traction when the toes are pale and edematous and have a very slow capillary refill.

The nurse performing a neurovascular check on a limb in traction would report and document which finding(s) as indicative of altered circulation? Select all that apply.

The child with Duchenne's muscular dystrophy must push on his legs and "walk up the leg" in order to rise to a standing position. The nurse recognizes this characteristic behavior as _______________ maneuver.

The nurse assesses a large green bruise on the thigh of a 4-year-old to be approximately ____ days old.

The nurse explains that Bryant's traction is reserved for children who weigh less than _____ pounds.

The nurse explains that the child's fracture heals more rapidly than the adult's because the child's bones:

On entering the room of a child in Buck's traction the nurse makes all of the following observations. The observation that requires nursing intervention is the: