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2026
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A school-age child has a fractured B. There is a metaphyseal fragment on the
wrist with a Salter-Harris Type II compression side of fracture.
fracture, according to the
radiologist. What is true about this
type of fracture?
A. Growth disturbance of the long
bones of the arm is likely.
B. There is a metaphyseal fragment
on the compression side of
fracture.
C. There is usually a compression
or crushing injury to the physis.
D. This will require anatomic
reduction using an open
approach.
,What will the primary care A. Dislocation of an unstable hip
pediatric nurse practitioner elicit
when obtaining a positive Barlow
maneuver when screening for
developmental dysplasia of the
hip?
A. Dislocation of an unstable hip
B. Dropping of the iliac crest with
a raised leg
C. Reduction of a dislocated hip
D. Unequal knee heights in a
supine child
A 3-year-old child is brought to B. Gently attempt a supination and flexion
the clinic by a parent who reports technique.
that the child refuses to use the
right arm after being swung by
both arms while playing. The child
is sitting with the right arm held
slightly flexed and close to the
body. There is no swelling or
ecchymosis present. What will the
primary care pediatric nurse
practitioner do?
A. Consider maltreatment as a
possible cause of injury.
B. Gently attempt a supination and
flexion technique.
C. Immobilize the arm with a sling
and refer to orthopedics.
D. Obtain a radiograph of the
child's right arm and elbow.
, A school-age child falls off a C. Immobilization with a sling to support the
swing and suffers a closed affected extremity
fracture of the right clavicle. How
will this be managed?
A. Application of a figure-eight
clavicle brace for 6 to 8 weeks
B. Hospitalization for traction of
the affected extremity and
shoulder
C. Immobilization with a sling to
support the affected extremity
D. Referral to an orthopedic
specialist for possible surgical
reduction
The primary care pediatric nurse C. Surgical intervention
practitioner elicits positive
Ortolani and Barlow signs in a 6-
month-old infant not previously
noted in the medical record. What
is the correct treatment?
A. Pavlik harness
B. Spica cast
C. Surgical intervention
D. Triple diapering