Pediatric disorders of the integumentary system Flashcards
The nurse practitioner is reviewing risk factors for patients with orthopedic disorders. Predict a common risk factor for developmental hip dysplasia (DDH).
Gestational diabetes
Child abuse
Parental smoking
Babies born in a breech position
Babies born in a breech position
The nurse practitioner is providing anticipatory guidance to the parents of a 2-year-old. Propose a common cause of subluxation of elbow.
A child holding a toy when falling
A child being lifted by one arm
Inflammation of the shoulder joint
Falling on an outstretched arm with the wrist dorsiflexed
A child being lifted by one arm
In a newborn, predict when a diagnosis of hip dislocation or developmental hip dysplasia (DDH) is suspected.
Tonic neck reflex in which the left leg is flexed
The femoral head is loose in the acetabulum
Wide hip abduction is symmetric
Insidious onset of limp
The femoral head is loose in the acetabulum
Propose a situation that is consistent with a patient presenting with costochondritis.
A patient who swept the floor after dinner
A child with an upper respiratory infection and frequent cough
A patient presenting with chest pain that radiates to the left arm
A patient with hypertension and chest pain
A child with an upper respiratory infection and frequent cough
When treating a patient for subluxation of elbow, establish which is accurate.
The common age for subluxation of elbow is 4–7 years.
The supination or flexion method is not recommended for reduction.
A sling is recommended to facilitate healing.
An orthopedic referral is recommended for patients presenting with subluxation of elbow.
A sling is recommended to facilitate healing.
The nurse practitioner is evaluating a 6-week-old for developmental hip dysplasia (DDH). Conclude which is an effective diagnostic maneuver or examination technique for DDH.
McBurney’s test
Joint aspiration
Ortolani maneuver
X-ray within the first six weeks of life
Ortolani maneuver
Child abuse should be suspected in all children presenting with a fracture. Determine which is accurate when evaluating a child with suspected child abuse.
The presence of congenital dermal melanocytosis confirms abuse.
The suspected child abuse should be referred after confronting the parent.
Radiographic evidence of an old fracture that was never treated may be present.
A repeat radiograph is recommended every 5 days.
Radiographic evidence of an old fracture that was never treated may be present.
Samantha is a 10-year-old female who presents to the clinic for discomfort after stepping onto an uneven surface and twisting her ankle. Determine what an evaluation of patients presenting with possible sprains must include.
Ultrasonography
Hydration status and urinary output
Test for Murphy’s sign
Assessment of associated bony structures
Assessment of associated bony structures
J. B. was recently diagnosed with developmental hip dysplasia (DDH). The mother is questioning the treatment plan and prognosis. Predict what is associated with a better long-term outcome for patients diagnosed with DDH.
Surgery within the first few months to avoid complications
Early recognition and treatment
Double or triple diapers to maintain the child’s hip stability
Using the Pavlik harness for the first year of life
Early recognition and treatment
The nurse practitioner is concerned about child abuse in a patient who presented to the clinic. Conclude a fracture pattern associated with child abuse.
A fracture of the elbow
A clavicular fracture in infants
A plastic deformity
Multiple fractures in various stages of healing
Multiple fractures in various stages of healing
Propose a situation that is consistent with a patient presenting with costochondritis.
A patient with hypertension and chest pain
A patient who swept the floor after dinner
A wrestler who lifted weights and completed pushups
A patient experiencing reflux after eating spicy food
A wrestler who lifted weights and completed pushups
The nurse practitioner is educating a group of students on injury prevention. Determine which is accurate for sprain or strain prevention.
Pushing hard and maximizing every minute for effective physical activity
Avoiding breaks when engaging in physical exercise
Using a heating pad to warm up prior to physical activity
Stretching after physical activity
Stretching after physical activity
The nurse practitioner is evaluating a pediatric patient for chest pain. Propose an accurate statement regarding chest pain in pediatrics.
It is typically caused by costochondritis.
The most common cause of chest pain in pediatrics is cardiac arrest.
Cardiac problems are common in children presenting with chest pain.
An electrocardiogram (ECG) is recommended in all patients presenting with chest pain.
It is typically caused by costochondritis.
In a newborn, predict when a diagnosis of hip dislocation or developmental hip dysplasia (DDH) is suspected.
Insidious onset of limp
Tonic neck reflex in which the left leg is flexed
Flaccidity of the left leg following the extension of both legs
The femoral head is within the acetabulum but can be maneuvered and completely dislocated
The femoral head is within the acetabulum but can be maneuvered and completely dislocated
The nurse practitioner is evaluating a child for an ankle sprain. Recommend the initial management of any sprain.
Exercise
Casting for immobilization
Ice
Referral to orthopedics
Ice
