Maternal and Child Health Nursing 7th Edition By Pillitteri
Maternal and Child Health Nursing 7th Edition By Pillitteri
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Chapter 51 Maternal and Child Health Nursing 7th Edition By Pillitteri
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A toddler is diagnosed with osteomyelitis. What should the nurse anticipate as a priority intervention when planning this child’s care? | |
| A) | Assisting the child with crutch walking | |
| B) | Maintaining intravenous antibiotic therapy | |
| C) | Keeping the child quiet while in skeletal traction | |
| D) | Restricting fluid to encourage red cell production | |
| Ans: | B | |
| Feedback: | ||
| For osteomyelitis, medical therapy includes administration of intravenous antibiotics, which is usually initiated in the hospital and then continued at home for as long as 2 weeks; an intermittent infusion device or peripherally inserted central catheter may be used. After this, the child will be prescribed an oral antibiotic for 3 to 4 more weeks. There is no enough information to determine the location of the infection so crutch walking may not be applicable. Skeletal traction is not needed to treat osteomyelitis. Fluid restriction does not encourage red blood cell production and may be harmful to the care of this child. | ||
| 2. | A school-age child with pauciarticular juvenile arthritis has extreme pain upon waking in the morning. Which intervention should the nurse suggest the parents try to help the child with the pain? | |
| A) | Encourage bed rest until the pain is gone. | |
| B) | Perform isotonic exercises until the pain is gone. | |
| C) | Provide 325 mg of aspirin immediately on arising. | |
| D) | Encourage a warm bath each morning before school. | |
| Ans: | D | |
| Feedback: | ||
| Heat reduces pain and inflammation in joints and increases comfort and motion. Heat can be applied by the use of a heating pad or warm water soaks for 20 to 30 minutes. Bed rest will not help reduce the pain. Isotonic exercises will not reduce the pain and could make the pain worse. Aspirin taken on an empty stomach could lead to gastric irritation. The dose of 325 mg may also be too high for the child. | ||
| 3. | The nurse is preparing an educational session for community members that focuses on the 2020 National Health Goals. Which information should the nurse include to ensure a healthy musculoskeletal system? | |
| A) | Importance of daily exercise | |
| B) | Early diagnosis of painful joints | |
| C) | Need for at least 8 hours of sleep | |
| D) | Ensure an adequate intake of calcium | |
| Ans: | A | |
| Feedback: | ||
| The 2020 National Health Goals focus on proper exercise to maintain a healthy musculoskeletal system. The nurse can help the nation achieve these goals by educating community members on the importance of physical activity. Diagnosis of painful joints, hours of sleep, and dietary intake are not identified as actions to ensure a healthy musculoskeletal system. | ||
| 4. | The nurse is evaluating a school-age child’s ability to crutch walk so that no weight is placed on an injured leg. Which walking technique indicates that teaching has been effective? | |
| A) | Walking gait | |
| B) | Two-point gait | |
| C) | Single-crutch support gait | |
| D) | Three-point swing-through gait | |
| Ans: | D | |
| Feedback: | ||
| A three-point swing-through gait is used when no weight bearing is allowed on one foot. A two-point gait is used when a child needs support for weakened muscles or balance but may bear weight on both lower extremities. Walking gait and single-crutch support gait are not identified crutch walking approaches. | ||
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