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exam3
pedi orthopedics
| Question | Answer |
|---|---|
| what term describes a spectrum of pedi disorders related to abnormal development of the hip that may occur at any time during fetal life, infancy or childhood? seen in approx. 10 per 1000 live births, left hip more likely? | hip dysplasia |
| what pedi orthopedic complication is cause by gender, family hx, delivery type, intrauterine activity, tightly wrapping infant hips together w/ no movement? | hip dysplasia |
| what kind of hip dysplasia is the mildest there is neither subluxation nor dislocation? | shallow acetabulum |
| what type of pedi hip dysplagia accounts for the largest percentage, incomplete dislocation of the hip, intermediate state in the development from primary dysplagia to complete dislocation, femerol head in contact with socket, head partially displaced, | subluxation |
| what type of pedi hip dysplasia is a femoral head looses contact with the acetabulum and is displaced posteriorly and superiorly over the fibrocartilaginous rim? | dislocation |
| what pedi orthopedic condition may initially appear as hip joint laxity? xrays unreliable means of testing, ultrasound, CT scanning, ortolani/barlow, galeazzi tests used to diagnose? | hip dysplasia |
| what hip dysplasia tests are accurate and assess shortening of limb on affected side, limited abduction, asymmetric thigh and glut folds, broadening of perineum? | observation tests |
| in a newborn baby, what is treated by dynamic splinting (pavlik harness), hip spica cast, skin traction? | hip dysplasia |
| in a 6-18 month old child, what orthopedic disorder is treated by gradual reduction, followed by closed or open reduction hip spica cast/brace? | hip dysplagia |
| in a child older then 18 months of age what orthopedic complication is treated by operative reduction? | hip dysplasia |
| for what treatment method of hip dysplasia must the RN assess for skin breakdown, straps for proper fit, teach how to apply and maintain, clothing, diaper under straps, skin massage, avoid lotions/powders? | pavlik harness |
| what hip dysplasia treatment method must the RN assess circulation, movement, sensation, skin, encourage parent to promote socialization? | cast |
| what pedi orthopedic condition is a deformity of the ankle and foot? 1 to 2 per 1000 live births, boys twice as likely, bilateral in 50%, caused by restrictive moves, poor utero position, can be seen in ultrasound and readily @ birth? | congenital club foot |
| what pedi orthopedic condition is treated by correction of the deformity, serial casting, maintenance of the correction, follow up observations, infant casted in nursery, new cast every week? Assess skin and movement, cast care, | club foot |
| what pedi orthopedic complication is a complex spinal deformity in 3 planes, lateral curve, spinal rotation w/ rib symmetry, thoracic kyphosis, most common spinal deformity, classified by age of onset, adolescent most common w/ puberty, may be genetic? | scoliosis |
| what pedi orthopedic complication is diagnosed by observation, adams test, scoliometer, x-ray, treated by bracing(20 deg or less), exercise. these do not cure they stabilize and help align prevent further damage, braces 23 hrs a day? | scoliosis |
| for what pedi orthopedic complication is surgery only for curve of 40 deg or more, high EBL, realignment and str8tning, internal fixation, spinal fusion, post op: log roll, skin care, neuro chex, pain control, distractions, monitor for infection | scoliosis |
| for what pedi orthopedic complication must the nurse consider the psychosocial aspects like: fragile adolescent body image, social isolation, fear and uncertainty? | scoliosis |
| what pedi orthopedic disorder is a chronic autoimmune inflammatory disease of the joints and other tissues, leads to eventual erosion, destruction & fibrosis of the articular cartilage & erosion of the joint, starts b4 16, peak at 1-3? | juvenile idiopathic arthritis or juvenile rheumatoid arthritis |
| what pedi orthopedic complication has no definitive tests onset b4 16, arthritis for 6 weeks or longer, exclusion of other causes, may see leukocytosis, TReatments: NSAIDS, control pain, preserve joint fx, minimize joint deformity, promote normal growth? | JIA or JRA |
| what pedi orthopedic complication is treated with NSAIDS, methotrexate, corticosteroids, tumor necrosis factor inhinitors? nurse must: manage pain, monitor meds, promote general health, family support, teach: moist heat, exercise, nutrition, pain manage | JIA or JRA |
| what pedi orthopedic complication is the spirochete enters the skin and bloodstream through saliva and feces of ticks? Erythma migrans lesions, flu-like sx, neuro sx (headache, facial paralysis, forgetfulness), musculoskeletal (pain, swelling of joints) | lyme disease |
| what stage of lyme disease is the initial tick bite followed by development of erythema migrans at the bite site?> | stage 1 |
| what stage of lyme disease is the most serious stage, systemic involvement of neuro, musculoskeletal and cardiac sx? | stage 2 |
| what stage of lyme disease involves musculoskeletal pain, arthritic sx? | stage 3 |
| what is diagnosed by the EM lesion, history of exposure, ELISA, western blot test, CSF exam? blood work, hx of camping? | lyme disease |
| what is treated with amoxicillin if under 8, doxycycline if over 8, and perenteral antibiotics if long disease process? prevented by reducing exposure? | lyme disease |
Created by:
malcolmnursing2
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