PEDS and OB Final
Exam 2022
1. A child has a right femur fracture caused by a motor vehicle accident and is placed in
skin traction temporarily until surgery can be performed. During assessment, the nurse
notes that the dorsalis pedal pulse is absent on the right foot. What action should the
nurse take?
a. Notify the physician
b. Administer an analgesic
c. Release the skin traction
d. Apply ice to the extremity
ANS: A
2. The nurse is providing care to a 7-year-old child who has been diagnosed with avascular
necrosis. The patient’s guardians ask the nurse what to expect due to this diagnosis.
Which would be appropriate information to provide to the parents?
a. The child will be hospitalized and placed in traction.
b. The child will be treated by surgically placing a femoral screw.
c. The child will be placed in a Pavlik harness for several weeks.
d. The child will be given medication while on bedrest.
ANS: A
3. A nurse is providing instructions to the parents of a child with scoliosis regarding the
use of a brace. Which statement by the parents indicates a need for further teaching?
a. “I will encourage my child to perform prescribed exercises.”
b. “I will have my child wear soft fabric clothing under the brace.”
c. “I should apply lotion under the brace to prevent skin break down.”
d. “I should avoid the use of powder because it will cake under the brace.”
ANS: C
4. A mother brings her 2-week-old infant to a clinic for treatment after a diagnosis of
clubfoot made at birth. Which statement by the mother indicates a need for further
teaching regarding this disorder?
a. “Treatment needs to be started as soon as possible.”
b. “I realize my infant will require follow-up care until full grown.”
c. “I need to bring my infant back to the clinic in 1 month for a new cast.”
d. “I need to come to the clinic every week with my infant for the casting.”
ANS: C
5. A nurse prepares a list of home care instructions for the parents of a child who has a
plaster cast applied to the left forearm. Which instructions would be included on
the list? (Select all that apply).
a. Use of fingertips to lift the cast while it is drying.
b. Do not put small toys in the cast.
c. Contact the physician is the child complains of numbness or tingling in the
extremity.
d. Use a padded ruler or another padded object to scratch under the cast if it itches.
e. Place a heating pad on the lower end of the cast and over the fingers if the fingers
feel cold.
f. Elevate the extremity on pillows for the first 24 to 48 hours after
casting to prevent swelling.
1
,ANS: B, C, F
2
, 6. A 12-old girl is noted to walk with an uneven gait, and her shoulders appear
uneven. The left shoulder sits lower than the right shoulder, and her waist
appears to be tilted from side to side. Which condition is the girl most likely
experiencing?
a. Internal femoral torsion
b. Hip dysplasia
c. Club foot
d. Scoliosis
ANS: D
7. The nurse is caring for a 13-year-old patient diagnosed with adolescent idiopathic
scoliosis. The curve in her back was treated by spinal fusion with rod insertion.
Which is the priority nursing intervention in the postoperative period?
a. Promote adequate oral fluid intake.
b. Keep oxygen saturation within normal limits.
c. Ensure placement of indwelling urinary catheter.
d. Maintain a straight back, no bending.
ANS: B
8. A nurse is providing teaching to a parent of a child who has a fracture of an
epiphyseal plate. Which of the following statements should the nurse make?
a. "The blood supply to the bone is disrupted."
b. "Normal bone growth can be affected."
c. "Bone marrow can be lost though the fracture."
d. "The younger the child the longer the healing process will take."
ANS: B
9. A nurse is caring for a school-age patient who possibly has Reye Syndrome. What are
the risk factors for developing Reye Syndrome? (Select all that apply).
a. Use of aspirin
b. A recent infection with Influenza A
c. Recent history of bacterial otitis media
d. A recent infection of chicken pox
e. Recent episode of Hemophilus influenza meningitis
ANS: A, B, D
10. When caring for the child with Reye syndrome, the priority nursing intervention
should be to:
a. Monitor intake and output
b. Prevent skin breakdown
c. Observe for petechiae
d. Do range of motion exercises
ANS: A
11. A nurse is caring for a school-age child who has a concussion. Which of the
following actions would the nurse implement to decrease intracranial pressure
(ICP)? (Select all that apply).
a. Position head midline with head of bed flat
b. Avoid extreme flexion, extension or rotation of the head
c. Nasal suctioning is contraindicated
d. Oral suctioning is contraindicated
e. Encourage coughing and deep breathing
3
Exam 2022
1. A child has a right femur fracture caused by a motor vehicle accident and is placed in
skin traction temporarily until surgery can be performed. During assessment, the nurse
notes that the dorsalis pedal pulse is absent on the right foot. What action should the
nurse take?
a. Notify the physician
b. Administer an analgesic
c. Release the skin traction
d. Apply ice to the extremity
ANS: A
2. The nurse is providing care to a 7-year-old child who has been diagnosed with avascular
necrosis. The patient’s guardians ask the nurse what to expect due to this diagnosis.
Which would be appropriate information to provide to the parents?
a. The child will be hospitalized and placed in traction.
b. The child will be treated by surgically placing a femoral screw.
c. The child will be placed in a Pavlik harness for several weeks.
d. The child will be given medication while on bedrest.
ANS: A
3. A nurse is providing instructions to the parents of a child with scoliosis regarding the
use of a brace. Which statement by the parents indicates a need for further teaching?
a. “I will encourage my child to perform prescribed exercises.”
b. “I will have my child wear soft fabric clothing under the brace.”
c. “I should apply lotion under the brace to prevent skin break down.”
d. “I should avoid the use of powder because it will cake under the brace.”
ANS: C
4. A mother brings her 2-week-old infant to a clinic for treatment after a diagnosis of
clubfoot made at birth. Which statement by the mother indicates a need for further
teaching regarding this disorder?
a. “Treatment needs to be started as soon as possible.”
b. “I realize my infant will require follow-up care until full grown.”
c. “I need to bring my infant back to the clinic in 1 month for a new cast.”
d. “I need to come to the clinic every week with my infant for the casting.”
ANS: C
5. A nurse prepares a list of home care instructions for the parents of a child who has a
plaster cast applied to the left forearm. Which instructions would be included on
the list? (Select all that apply).
a. Use of fingertips to lift the cast while it is drying.
b. Do not put small toys in the cast.
c. Contact the physician is the child complains of numbness or tingling in the
extremity.
d. Use a padded ruler or another padded object to scratch under the cast if it itches.
e. Place a heating pad on the lower end of the cast and over the fingers if the fingers
feel cold.
f. Elevate the extremity on pillows for the first 24 to 48 hours after
casting to prevent swelling.
1
,ANS: B, C, F
2
, 6. A 12-old girl is noted to walk with an uneven gait, and her shoulders appear
uneven. The left shoulder sits lower than the right shoulder, and her waist
appears to be tilted from side to side. Which condition is the girl most likely
experiencing?
a. Internal femoral torsion
b. Hip dysplasia
c. Club foot
d. Scoliosis
ANS: D
7. The nurse is caring for a 13-year-old patient diagnosed with adolescent idiopathic
scoliosis. The curve in her back was treated by spinal fusion with rod insertion.
Which is the priority nursing intervention in the postoperative period?
a. Promote adequate oral fluid intake.
b. Keep oxygen saturation within normal limits.
c. Ensure placement of indwelling urinary catheter.
d. Maintain a straight back, no bending.
ANS: B
8. A nurse is providing teaching to a parent of a child who has a fracture of an
epiphyseal plate. Which of the following statements should the nurse make?
a. "The blood supply to the bone is disrupted."
b. "Normal bone growth can be affected."
c. "Bone marrow can be lost though the fracture."
d. "The younger the child the longer the healing process will take."
ANS: B
9. A nurse is caring for a school-age patient who possibly has Reye Syndrome. What are
the risk factors for developing Reye Syndrome? (Select all that apply).
a. Use of aspirin
b. A recent infection with Influenza A
c. Recent history of bacterial otitis media
d. A recent infection of chicken pox
e. Recent episode of Hemophilus influenza meningitis
ANS: A, B, D
10. When caring for the child with Reye syndrome, the priority nursing intervention
should be to:
a. Monitor intake and output
b. Prevent skin breakdown
c. Observe for petechiae
d. Do range of motion exercises
ANS: A
11. A nurse is caring for a school-age child who has a concussion. Which of the
following actions would the nurse implement to decrease intracranial pressure
(ICP)? (Select all that apply).
a. Position head midline with head of bed flat
b. Avoid extreme flexion, extension or rotation of the head
c. Nasal suctioning is contraindicated
d. Oral suctioning is contraindicated
e. Encourage coughing and deep breathing
3
