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Chapter 29: Child With a Neurological Condition

Safe Maternity Pediatric Nursing By Care Palmer Coats

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Chapter 29: Child With a Neurological Condition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   Which statement reflects appropriate understanding of the anatomy and physiology of the nervous system?

1) The brain is a network of nerve cells called axons.
2) The central nervous system consists of the brain only.
3) The peripheral nervous system consists of the cranial nerves and the spinal nerves.
4) Gray matter consists of axons that are coated with myelin, which allows nerve impulses to travel rapidly.

 

 

____     2.   Which item regulates emotions and behavior?

1) Thalamus
2) Brainstem
3) Spinal cord
4) Hypothalamus

 

 

____     3.   Which teaching point should be included in the plan of care for a toddler-aged patient to decrease the risk of traumatic brain injury (TBI)?

1) Using an appropriate rear-facing car seat
2) Using head support devices when placed in a car seat
3) Wearing a helmet when riding a tricycle
4) Teaching appropriate technique for diving

 

 

____     4.   For which pediatric patient should the nurse provide focused teaching regarding near drowning?

1) Toddler
2) Preschooler
3) School-aged
4) Early adolescent

 

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  3

Chapter number and title: 29: Child With a Neurological Condition

Chapter learning objective: Describe the anatomy and physiology of the peripheral and central nervous systems.

Chapter page reference: 462-464

Heading: Peripheral Nervous System

Integrated processes: Clinical Problem-Solving Process

Client need: Health Promotion and Maintenance

Cognitive level: Knowledge [Remembering]

Concept: Neurological Regulation

Difficulty: Easy

 

  Feedback
1 This statement does not reflect an appropriate understanding of the anatomy and physiology of the nervous system.
2 The central nervous system consists of the brain and the spinal cord, not just the brain.
3 The peripheral nervous system consists of cranial nerves and spinal nerves.
4 White, not gray, matter consists of axons that are coated with myelin, which allows nerve impulses to travel rapidly.

 

 

PTS:   1                    CON:  Neurological Regulation

 

  1. ANS:  4

Chapter number and title: 29: Child With a Neurological Condition

Chapter learning objective: Describe the anatomy and physiology of the peripheral and central nervous systems.

Chapter page reference: 461-462

Heading: Central Nervous System

Integrated processes: Clinical Problem-Solving Process

Client need: Psychosocial Integrity

Cognitive level: Knowledge [Remembering]

Concept: Neurological Regulation

Difficulty: Easy

 

  Feedback
1 The thalamus is the sensory relay for pain, pressure, and temperature.
2 The brainstem is responsible for primitive reflexes.
3 The spinal cord does not regulate emotions and behaviors.
4 The hypothalamus controls the autonomic nervous system; regulates emotion, behavior, hunger, and thirst; and secretes antidiuretic hormone and oxytocin.

 

 

PTS:   1                    CON:  Neurological Regulation

 

  1. ANS:  3

Chapter number and title: 29: Child With a Neurological Condition

Chapter learning objective: Describe factors associated with a diagnosis of a traumatic brain injury.

Chapter page reference: 474-477

Heading: Traumatic Brain Injury

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Application [Applying]

Concept: Safety

Difficulty: Moderate

 

  Feedback
1 An infant, not a toddler, should use a rear-facing car seat to decrease the risk for TBI.
2 An infant, not a toddler, should use head support devices when placed in a car seat to decrease the risk for TBI.
3 The toddler-aged patient should wear a helmet when riding a tricycle to decrease the risk for TBI.
4 Adolescent, not toddler-aged, patients are at an increased risk for TBI due to a diving injury.

 

 

PTS:   1                    CON:  Safety

 

  1. ANS:  2

Chapter number and title: 29: Child With a Neurological Condition

Chapter learning objective: Discuss the phenomenon and clinical outcomes of a child who experiences “near drowning.”

Chapter page reference: 469

Heading: Drowning and Near Drowning

Integrated processes: Clinical Problem-Solving Process

Client need: Health Promotion and Maintenance

Cognitive level: Comprehension [Understanding]

Concept: Safety

Difficulty: Easy

 

  Feedback
1 Although the toddler-aged patient is at risk for near drowning, this is not the stage of development in which near drownings peak.
2 The preschool and later adolescent periods are identified as peak risk for near drowning.
3 Although the school-aged patient is at risk for near drowning, this is not the stage of development in which near drownings peak.
4 Later, not early, adolescent patients are at peak risk for near drowning.

 

 

PTS:   1                    CON:  Safety

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