Safe Maternity Pediatric Nursing By Care Palmer Coats
Safe Maternity Pediatric Nursing By Care Palmer Coats
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Chapter 35: Child With a Musculoskeletal 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 bone is a common location for musculoskeletal disorders during childhood?
| 1) | Flat |
| 2) | Long |
| 3) | Short |
| 4) | Irregular |
____ 2. To prevent rickets, which calcium requirement should the nurse include in a teaching session for the parents of a later school-aged child?
| 1) | 500 mg |
| 2) | 800 mg |
| 3) | 1300 mg |
| 4) | 1500 mg |
____ 3. Which imaging test should the nurse anticipate for a patient whose provider wants to visualize hard and soft tissue along with bone marrow, without the use of radiation?
| 1) | Bone scan |
| 2) | Fluoroscopy |
| 3) | Computed tomography |
| 4) | Magnetic resonance imaging |
____ 4. The nurse is assisting in the assessment process for a school-aged patient who reports groin pain all week. When assessing the right hip, the nurse finds that the hip does not fully rotate internally, and abduction is limited. On the basis of these data, which condition might the nurse suspect?
| 1) | Osgood-Schlatter disease |
| 2) | Left hip and femur fracture |
| 3) | Legg-Calvé-Perthes disease |
| 4) | Slipped capital femoral epiphysis |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 35: Child With a Musculoskeletal Condition
Chapter learning objective: Analyze various childhood disease processes of the musculoskeletal system such as congenital clubfoot, juvenile rheumatoid arthritis, scoliosis, and muscular dystrophy.
Chapter page reference: 580
Heading: Bones
Integrated processes: Clinical Problem-Solving Process
Client need: Physiological Adaptation
Cognitive level: Knowledge [Remembering]
Concept: Development
Difficulty: Easy
| Feedback | |
| 1 | Flat bones are located in the skull, scapulae, ribs, sternum, and clavicle. |
| 2 | Bones are classified by their size and shape. Long bones are found in the extremities. These include the fingers and toes. Most childhood disorders are located in the long bones. |
| 3 | Short bones are located in the ankle and wrist. |
| 4 | Irregular bones are the vertebrae, pelvis, and facial bones. |
PTS: 1 CON: Development
Chapter number and title: 35: Child With a Musculoskeletal Condition
Chapter learning objective: Differentiate the laboratory values that are used to identify and monitor disease progression for a child with a musculoskeletal disorder.
Chapter page reference: 581
Heading: Table 35-1 Daily Nutrients for Bone Health During Childhood
Integrated processes: Teaching and Learning
Client need: Health Promotion and Maintenance
Cognitive level: Application [Applying]
Concept: Nutrition
Difficulty: Moderate
| Feedback | |
| 1 | The calcium requirement for an infant, not a later school-aged child, is 500 mg. |
| 2 | The calcium requirement for a preschool-aged, not a later school-aged, child is 800 mg. |
| 3 | The calcium requirement for a later school-aged child is 1300 mg. |
| 4 | The calcium requirement for an early school-aged, not a later school-aged, child is up to 1500 mg. |
PTS: 1 CON: Nutrition
Chapter number and title: 35: Child With a Musculoskeletal Condition
Chapter learning objective: Critique holistic assessments conducted to rule out a musculoskeletal disorder in childhood.
Chapter page reference: 583-584
Heading: General Assessments for Musculoskeletal Deviations
Integrated processes: Clinical Problem-Solving Process
Client need: Reduction of Risk Potential
Cognitive level: Comprehension [Understanding]
Concept: Assessment
Difficulty: Easy
| Feedback | |
| 1 | Bone scans are excellent at finding changes in bone as a result of infection, trauma, or tumor. |
| 2 | Fluoroscopy is real-time radiography that guides many orthopedic procedures. |
| 3 | Computed tomography shows a three-dimensional and cross-sectional view of anatomy that is clearer than x-rays (uses contrast). |
| 4 | Magnetic resonance imaging (MRI) visualizes hard and soft tissue and bone marrow without using radiation. |
PTS: 1 CON: Assessment
Chapter number and title: 35: Child With a Musculoskeletal Condition
Chapter learning objective: Analyze various childhood disease processes of the musculoskeletal system such as congenital clubfoot, juvenile rheumatoid arthritis, scoliosis, and muscular dystrophy.
Chapter page reference: 591-592
Heading: Assessments for Slipped Capital Femoral Epiphysis
Integrated processes: Clinical Problem-Solving Process
Client need: Physiological Adaptation
Cognitive level: Comprehension [Understanding]
Concept: Mobility
Difficulty: Easy
| Feedback | |
| 1 | These symptoms do not support the diagnosis of Osgood-Schlatter disease. |
| 2 | These symptoms do not support the diagnosis of a left hip and femur fracture. |
| 3 | These symptoms do not support the diagnosis of Legg-Calvé-Perthes disease. |
| 4 | Pain in the groin or referred to the thigh or knee is the child’s primary presenting complaint with slipped capital femoral epiphysis. Acute slip symptoms are present for less than 3 weeks. Chronic slip symptoms are present for weeks or even months. Along with the expressed symptoms, the hip does not fully rotate internally, and abduction is limited. The affected leg may be shorter if the child has a moderate or severe slip. |
PTS: 1 CON: Mobility
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