Chapter 29: Caring for the Child With a Musculoskeletal Condition

Chapter 29: Caring for the Child With a Musculoskeletal Condition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The pediatric nurse explains to the student nurse that alterations in musculoskeletal functioning may be related to a congenital defect or an acquired defect. Which disorder is an example of a congenital defect?

A.	Juvenile arthritis
B.	Muscular dystrophy
C.	Osgood-Schlatter disease
D.	Osteomyelitis

 

 

ANS:  B

Alterations in musculoskeletal functioning may be related to a congenital defect such as muscular dystrophy, clubfoot, or osteogenesis imperfecta. Other musculoskeletal alterations may be related to an acquired defect such as Legg-Calvé-Perthes disease, slipped femoral capital epiphysis, Osgood-Schlatter disease, scoliosis, sprains, strains, fractures, osteomyelitis, juvenile arthritis, or tetanus.

 

Cognitive Level: Comprehension/Understanding

Content Area: Pediatrics/Maternity

Patient Needs: Health Promotion and Maintenance

Integrated Process: Teaching/Learning

Difficulty: Easy

 

PTS:   1

 

2. The student nurse studying the anatomy of the musculoskeletal system understands that bones are classified by their size and shape. How does the student classify the pelvis?

A.	Flat bone
B.	Irregular bone
C.	Long bone
D.	Short bone

 

 

ANS:  B

Flat bones are located in the skull, scapulae, ribs, sternum, and clavicle. Long bones are found in the extremities, and include the fingers and toes. Short bones are located in the ankles and wrists. Irregular bones are the vertebrae, pelvis, and facial bones.

 

Cognitive Level: Knowledge/Remembering

Content Area: Pediatrics/Maternity

Patient Needs: Health Promotion and Maintenance

Integrated Process: Teaching/Learning

Difficulty: Easy

 

PTS:   1

 

3. An adolescent patient is prescribed a brace to treat scoliosis. Which assessment finding by the nurse indicates that outcomes for a priority nursing diagnosis have been met by the patient?

A.	Is able to explain the rationale for the bracing
B.	No redness or breakdown seen under the brace
C.	Participates in social activities with friends
D.	Wears brace continuously for 20 hours each day

 

 

ANS:  B

The skin under the brace worn to treat scoliosis needs to be assessed for breakdown, especially when the brace is new. An important diagnosis would be risk for impaired skin integrity. Seeing no skin breakdown under the brace indicates the outcomes have been met for this goal. Being able to explain the rationale for the bracing and participating in social activities also indicate that outcomes for appropriate diagnoses have been met, but these do not take priority over a possible injury to the child. The brace needs to be worn continuously for 23 hours each day.

 

Cognitive Level: Evaluation/Evaluating

Content Area: Pediatrics/Maternity

Patient Needs: Physiological Integrity: Physiological Adaptation

Integrated Process: Nursing Process: Evaluation

Difficulty: Moderate

 

PTS:   1

 

4. The nurse is providing care to a pediatric patient admitted for a workup of bone deformity. The latest laboratory values indicate calcium at 6.6 mg/dL and phosphorus at 2.1 mg/dL. Which condition does the nurse correlate with these values?

A.	Muscular dystrophy
B.	Osgood-Schlatter disease
C.	Rickets
D.	Scoliosis

 

 

ANS:  C

Normal calcium is 8.5–11 mg/dL, and normal phosphorus is 3–4.5 mg/dL. Low values for both are seen in rickets.

 

Cognitive Level: Analysis/Analyzing

Content Area: Pediatrics/Maternity

Patient Needs: Physiological Integrity: Reduction of Risk Potential

Integrated Process: Nursing Process: Assessment

Difficulty: Difficult

 

PTS:   1

 

5. A pediatric nurse is caring for a 1-year-old child who is in a spica cast. The nurse teaches the parents that modifications need to be made for this child. Which modification does the nurse teach?

A.	Using a baby bath with shallow water to clean the child
B.	Using a car seat with sturdy sides to transport the child
C.	Using a sitting position on the floor to feed the child
D.	Using a wagon instead of a stroller to move the child

 

 

ANS:  D

Placing the child in the prone position on the floor makes it easier for feeding the child. Mobilizing a child in a wagon is a good modification for a stroller while the child is in the spica cast. Toddler car seats that do not have sides are also a good modification for a child in a spica cast. The parents will need to modify the bath by giving the child a sponge bath.

 

Cognitive Level: Application/Applying

Content Area: Pediatrics/Maternity

Patient Needs: Physiological Integrity: Physiological Adaptation

Integrated Process: Teaching/Learning

Difficulty: Moderate

 

PTS:   1