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Question | Answer |
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Review the signs and symptoms of congenital hip dysplasia. | Physical examination reveals Allis sign (one knee lower than other when knees flexed) & positive Ortolani-Barlow maneuver in babies under 8-12 wks old. |
Review the care of a child who must wear a Pavlik harness. | demonstrate proper application of harness & care of infant while in harness. Teach family members about daily care (bathing, dressing &feeding) of infant. Ideally harness is worn 23 hrs/day & removed only for skin checks & bathing. |
List the signs and symptoms of scoliosis. | Classic signs include truncal asymmetry, uneven shoulder & hip height, one-sided rib hump, and prominent scapula. Hip & back pain can result, and lung compromise can lead to fatigue or dyspnea with exertion (40 degrees curvature). |
What Nursing Diagnosis should be included in the plan of care for a child with scoliosis who is being treated with a brace? | Risk for impaired adjustment to the exercise program;Impaired physical mobility r/t brace - Risk for impaired skin integrity r/t brace;Ineffective breathing pattern; Health seeking behaviors;Risk for disturbed body image r/t condition & treatment |
With what disease condition would blue sclera be associated? | Osteogenesis imperfecta. |
What nursing care should be provided to child with Osteogenesis imperfecta? | . Children must be handled gently; trunk & extremities should be supported when child is moved. Encourage swimming to promote muscle tone & prevent obesity. Be alert for signs of infection such as osteomyelitis, respiratory or urinary tract infection |
What Nursing Diagnoses would be appropriate for a child with Duchenne’s Muscular Dystrophy? | Activity intolerance; Ineffective airway clearance; Fatigue; Impaired physical mobility |
How should the school nurse treat an ankle sprain? | for 1st 24-36 hours: Rest,Ice,Compression,Elevation; after 24-36 hours mobility gradually increased |
Review the signs and symptoms of compartment syndrome | Paresthesia, Pain, Pressure, Pallor,Paralysis, Pulselessness |
Review the treatment of oteomyelitis. | begins with IV broad spectrum antibiotics (Vancomycin, Clindamycin). Extended IV therapy at home may be used for 3-6 weeks. If adequate response is not obtained within 2-3 days area may be aspirated again or surgical drainage performed |
List the instructions to be included in the education plan for the parents of a child with Legg-Calf-Perthes disease. | Both child & family should be aware that treatment generally takes > 2years. Suggest activities such as horseback riding, swimming,hand-crafts, computer activities |
How would a Pediatric Nurse provide care to a child in Bryant skin traction? | Ensure that equipment is in proper position & child's body is in proper alignment; assess skin & neurovascular status frequently;provide pin care using sterile technique |
Review the normal parental instructions for a child who has undergone surgical correction of congenital club-foot. | skin & cast care |