Peds Ch 40 Musculoskeletal

Question 1

What are some differences between a childs MS system and an adults

Answer 1

kids have epiphyseal growth plates

spongy bones- easier to break or bend

Question 2

What is the reason an infant has soft spots

Answer 2

during delivery, the bones can move

Question 3

What is osteomyelitis

Answer 3

infection in bones-pus in the bones

Question 4

What is the most common causative organism of osteomyelitis

Answer 4

staph

Question 5

What is the treatment for osteomyelitis

Answer 5

antibiotic

Question 6

What are the different types of fractures

Answer 6

complete, simple/closed, compound/open, spiral, incomplete, greenstick

Question 7

Which type of fracture is suggestive of abuse

Answer 7

spiral fracture

Question 8

What are nursing care tips for a child in a cast

Answer 8

don’t put anything inside the cast

Question 9

What is very important to assess with a cast

Answer 9

Pain, pulse, pallor, paresthesia, paralysis

Question 10

Why are ice and elevation important

Answer 10

will help reduce swelling

Question 11

what can indicate infection

Answer 11

drainage on cast

Question 12

What can go into the cast

Answer 12

nothing

Question 13

what should be done for a child in skeletal traction

Answer 13

clean the pins

Question 14

What are the rules to follow for a patient in traction

Answer 14

don’t get up
weight’s off floor
don’t take traction off
traction and counterweight is there

Question 15

If a child has a short term inability to walk, what is the most common assistive device ordered

Answer 15

crutches

Question 16

if crutches tend to cause pain, what is most likely the problem

Answer 16

the crutches are too high or too low

Question 17

What is LEGG CALVE Perthes disease

Answer 17

aseptic necrosis of head of femur

Question 18

What type of exercise might be appropriate for a child with Legg calve perthes

Answer 18

non-contact exercise

Question 19

what is scoliosis

Answer 19

lateral curvature of spine

Question 20

what is the treatment for scoliosis

Answer 20

brace

Question 21

what are teaching tips for a brace

Answer 21

wear it all the time!

Question 22

what is duchenne muscular dystrophy

Answer 22

recesssive degeneration of muscles

Question 23

what is duchenne muscular dystrophy caused by

Answer 23

hereditary

Question 24

what is the sign in which the child climbs up his legs

Answer 24

gowers sign

Question 25

What is juvenile rheumatoid arthritis

Answer 25

inflammation of joints

Question 26

What are treatments for juvenile arthritis

Answer 26

meds, physical therapy, surgery

Question 27

What are symptoms of juvenile arthritis

Answer 27

inflamed, red joints

PAIN!