Chapter 35 Child Health Nursing Partnering With Children & Families, 3rd Edition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Chapter 35

Question 1

Type: MCSA

The nurse in the newborn nursery is doing the admission assessment on a neonate. Which assessment finding would lead the nurse to suspect unilateral congenital hip dysplasia?

1. Lordosis
2. Trendelenburg sign
3. Asymmetry of the gluteal and thigh fat folds
4. Telescoping of the affected limb

Correct Answer: 3

Rationale 1: Lordosis does not occur with hip dysplasia.

Rationale 2: Trendelenburg sign and telescoping of the affected limb are signs that present in an older child with congenital hip dysplasia.

Rationale 3: A sign of congenital hip dysplasia in the infant would be asymmetry of the gluteal and thigh fat folds.

Rationale 4: Trendelenburg sign and telescoping of the affected limb are signs that present in an older child with congenital hip dysplasia.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 35-1

 

Question 2

Type: MCMA

A school health nurse is screening for scoliosis. For what assessment findings would the nurse look?

Standard Text: Select all that apply.

1. Lordosis
2. Prominent scapula
3. Pain
4. A one-sided rib hump
5. Uneven shoulders and hips

Correct Answer: 2,4,5

Rationale 1: Lordosis is not present with scoliosis.

Rationale 2: The classic signs of scoliosis include uneven shoulders and hips, a one-sided rib hump, and prominent scapula.

Rationale 3: Pain generally is not present with scoliosis unless it is severe.

Rationale 4: The classic signs of scoliosis include uneven shoulders and hips, a one-sided rib hump, and prominent scapula.

Rationale 5: The classic signs of scoliosis include uneven shoulders and hips, a one-sided rib hump, and prominent scapula.

Global Rationale:

 

Cognitive Level: Applying

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 35-1

 

Question 3

Type: MCSA

The nurse has completed parent education related to treatment for a child with congenital clubfoot. The nurse knows that parents need further teaching when they state:

1. “We’re getting a special car seat to accommodate the casts.”
2. “We’ll watch for any swelling of the feet while the casts are on.”
3. “We’ll keep the casts dry.”
4. “We’re happy this is the only cast our baby will need.”

Correct Answer: 4

Rationale 1: Using a car seat is the law. Special car seats to accommodate the casts are available and should be utilized.

Rationale 2: Parents should be watching for swelling while the casts are on.

Rationale 3: Keeping the casts dry is important to prevent complications

Rationale 4: Serial casting is the treatment of choice for congenital clubfoot. The cast is changed every one to two weeks until the corrected foot position is achieved.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 35-2

 

Question 4

Type: MCSA

A child must wear a brace for correction of scoliosis. Which nursing diagnosis takes priority at this time?

1. Impaired gas exchange, risk for
2. Altered growth and development, risk for
3. Impaired skin integrity, risk for
4. Impaired mobility, risk for

Correct Answer: 3

Rationale 1: Risk for impaired gas exchange is a late effect of scoliosis and would not be the priority. If the patient is compliant with wearing the brace, the risk should be minimized.

Rationale 2: The diagnosis of altered growth and development would not be the priority and should be corrected by the wearing of the brace.

Rationale 3: The skin should be monitored for breakdown in any area where the brace might rub against the skin.

Rationale 4: The diagnosis of impaired mobility would not be the priority and should be corrected if the patient is compliant with wearing the brace.

Global Rationale:

 

Cognitive Level: Analyzing

Client Need:

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: 35-2