Pediatric Nursing | Musculoskeletal And Neuromuscular Disorders NCLEX Quiz 12

The correct answer is "None of the above" because all three statements indicate that Veronica is not wearing the brace consistently or as prescribed. Wearing the brace only at night, taking it off when tired, or considering removing it for a social event like a dance would not be effective in treating structural scoliosis. Effective use of the brace would involve wearing it consistently and for the recommended duration to provide the necessary support and correction for the spinal curvature.

When a child injures the epiphyseal plate from a fracture, it can disrupt the normal growth of the bone. The epiphyseal plate is responsible for the lengthening of bones during growth, and any damage to it can interfere with this process. This disruption can lead to abnormal bone growth, such as one leg or arm being shorter than the other. Therefore, the correct answer is bone growth disruption.

Performing neurovascular checks is the priority nursing action immediately after applying a spica cast on Baby Betty. This is because a spica cast can cause compression and compromise the circulation and nerve function in the affected area. By performing neurovascular checks, the nurse can assess for any signs of impaired circulation or nerve damage, such as changes in skin color, temperature, sensation, and movement. Early detection of any issues allows for prompt intervention and prevention of complications.

When assessing a newborn for developmental dysplasia of the hip (DDH), Nurse Kevin would expect to assess Ortolani's sign. Ortolani's sign is a physical examination maneuver used to detect hip instability or dislocation in infants. It involves gently abducting the hips and applying gentle pressure to feel for a "clunk" or a palpable click as the femoral head relocates into the acetabulum. This sign is indicative of a positive finding for DDH and requires further evaluation and management. The other options, such as characteristic limp, symmetrical gluteal folds, and Trendelenburg's sign, are not specific to DDH assessment.

Nurse Betty would have the mother remove and reapply the harness before discharge in order to assess her ability to care for her child. This would allow Nurse Betty to observe if the mother is able to correctly and confidently handle the device, ensuring that the child's needs can be met at home. It would also provide an opportunity for Nurse Betty to provide any necessary guidance or instruction to the mother.

Cerebral palsy is the most common permanent disability in childhood. This condition affects movement, muscle tone, and posture due to damage to the developing brain. It can occur before, during, or shortly after birth, and is often caused by factors such as premature birth, infections, or brain injuries. Scoliosis is a condition characterized by an abnormal curvature of the spine, but it is not as common as cerebral palsy in childhood. Muscular dystrophy is a group of genetic disorders that cause progressive muscle weakness, but it is also less common than cerebral palsy. Developmental dysplasia of the hip (DDH) is a condition where the hip joint is improperly formed, but it is not as prevalent as cerebral palsy.

The statement "My baby won’t lift his head up and look at me; he’s so floppy" indicates that the child may have cerebral palsy. Cerebral palsy is a neurological disorder that affects muscle control and movement. Floppiness or low muscle tone is a common symptom of cerebral palsy, and the inability to lift the head up is another motor milestone that may be delayed in children with this condition. The other statements do not specifically suggest cerebral palsy.

After scoliosis surgery, it is important for Nurse Cheryl to be concerned with Fred's comfort level. This is because surgery can be a painful and uncomfortable experience, and it is crucial for the nurse to ensure that Fred is as comfortable as possible. This may involve providing pain medication, monitoring his pain levels, and implementing strategies to alleviate discomfort such as repositioning or providing a supportive environment. By prioritizing Fred's comfort, Nurse Cheryl can help promote his overall well-being and aid in his recovery process.

Femur fractures in toddlers and children up to age five usually occur due to low-energy falls. The healing time for a fractured femur in a 3-year-old is typically around 4 weeks. During this period, the bone will gradually repair itself and regain its strength. This healing time may vary depending on the severity of the fracture and the individual's overall health.

Iron deficiency anemia is a common nutritional deficiency in children, often caused by inadequate intake of iron-rich foods, such as meat, poultry, fish, beans, and fortified cereals. Iron is essential for the production of hemoglobin, the protein in red blood cells that carries oxygen throughout the body. Without sufficient iron, the body cannot produce enough healthy red blood cells, leading to fatigue, weakness, and other symptoms.