Chapter 35: Child With a Musculoskeletal Condition

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

 

  1. ANS:  2

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

 

  1. ANS:  3

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

 

  1. ANS:  4

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

 

  1. ANS:  4

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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