INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 219
Chapter 24: The Child with a Musculoskeletal Condition
MULTIPLE CHOICE
1. What would the nurse include in planning teaching to parents of a child with Legg-Calv-Perthes disease
about the long-term effects of this disease?
a. There are no long-term effects.
b. The disease is self-limited and requires no long-term treatment.
c. Degenerative arthritis may develop later in life.
d. There is risk of osteogenic sarcoma in adulthood.
ANS: C
Marked distortion of the head of the femur may lead to an imperfect joint or to degenerative arthritis of the hip
later in life.
DIF: Cognitive Level: Comprehension REF: Page 582
TOP: Legg-Calv-Perthes Disease KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. What intervention will the nurse caring for a child in Bucks skin traction implement?
a. Position in high Fowlers position.
b. Assist the child to be pulled up in bed.
c. Keep childs heel on the bed surface.
d. Maintain childs feet against the foot of the bed.
ANS: B
Bucks traction is a type of skin traction that relies on the childs weight as counterbalance. The child must be
kept with head elevated no more than 20 degrees and pulled up in bed, and the feet should not touch the bed
surface or the foot of the bed.
NURSINGTB.COM
DIF: Cognitive Level: Application REF: Page 574
TOP: Bucks Traction KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
3. What will the nurse include when caring for a child in Bucks extension?
a. Positioning the child with hips flexed 90 degrees at all times
b. Keeping the weights in contact with the floor
c. Checking for skin irritation from traction equipment
d. Releasing the weights on a schedule
ANS: C
The skin exposed to frequent friction may break down.
DIF: Cognitive Level: Application REF: Page 577
OBJ: 6 TOP: Traction KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
4. The nurse is reviewing the characteristics of Ewings sarcoma. Which statement if made by the nurse
indicates correct understanding of this disease?
a. Amputation is the accepted treatment.
b. The disease is sensitive to radiation and chemotherapy.
c. Metastasis is rare.
d. The disease is more prevalent among toddlers and preschoolers.
ANS: B
Ewings sarcoma is sensitive to radiation therapy and chemotherapy. Amputation of the affected extremity is
not recommended. This cancer occurs in school-age children and does metastasize.
DIF: Cognitive Level: Comprehension REF: Page 583
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 220
TOP: Ewings Sarcoma KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
5. What characteristic manifestation does the nurse caring for a child with Duchennes muscular dystrophy
document?
a. Ambulates by holding onto furniture
b. Exhibits atrophy of the calf muscles
c. Falls frequently and is clumsy
d. Has delayed fine-motor development
ANS: C
Frequent falling and clumsiness are clinical manifestations of Duchennes muscular dystrophy.
DIF: Cognitive Level: Knowledge REF: Page 581
TOP: Duchennes Muscular Dystrophy KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
6. The nurse assessing a child with juvenile rheumatoid arthritis notes the childs right knee and ankle are
swollen, warm, and tender. The child has a temperature of 38.8 C (102 F) and abdominal pain. What type of
juvenile rheumatoid arthritis do these findings suggest?
a. Psoriatic
b. Enthesitis
c. Systemic
d. Acute febrile
ANS: C
The systemic form of juvenile rheumatoid arthritis is associated with an elevated temperature, erythrocyte
sedimentation rate (ESR), and C-reactive protein; abdominal pain; and a macular rash.
DIF: Cognitive Level: Application REF: PageNURSINGTB.COM
583
TOP: Juvenile Rheumatoid Arthritis KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
7. The nurse is providing instructions about how to treat a sprained ankle. What statement by the mother does
the nurse recognize as indicative of a need for additional teaching?
a. Apply warm compresses to the ankle for the first 24 hours.
b. Put an ice pack on the ankle, alternating 30 minutes on with 30 minutes off.
c. Wrap the ankle in an Ace bandage for support.
d. Keep the leg elevated when sitting.
ANS: A
Heat is not a treatment for soft tissue injuries. The principles of managing soft tissue injuries are rest, ice,
compression, and elevation.
DIF: Cognitive Level: Application REF: Page 573
OBJ: 4 TOP: Soft Tissue Injury
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
8. How does Russell traction provide adequate skin traction?
a. Subluxates the tibia
b. Does not interfere with range of motion
c. Prevents the knee from flexing
d. Supplies continuous pull in two directions
ANS: D
Russell traction is skin traction, similar to Bucks, with a sling positioned under the knee, which prevents
subluxation of the tibia. Although the traction interferes with full ROM, the patient can change position
without disrupting the continuous pull in two directions.
NURSINGTB.COM
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 219
Chapter 24: The Child with a Musculoskeletal Condition
MULTIPLE CHOICE
1. What would the nurse include in planning teaching to parents of a child with Legg-Calv-Perthes disease
about the long-term effects of this disease?
a. There are no long-term effects.
b. The disease is self-limited and requires no long-term treatment.
c. Degenerative arthritis may develop later in life.
d. There is risk of osteogenic sarcoma in adulthood.
ANS: C
Marked distortion of the head of the femur may lead to an imperfect joint or to degenerative arthritis of the hip
later in life.
DIF: Cognitive Level: Comprehension REF: Page 582
TOP: Legg-Calv-Perthes Disease KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. What intervention will the nurse caring for a child in Bucks skin traction implement?
a. Position in high Fowlers position.
b. Assist the child to be pulled up in bed.
c. Keep childs heel on the bed surface.
d. Maintain childs feet against the foot of the bed.
ANS: B
Bucks traction is a type of skin traction that relies on the childs weight as counterbalance. The child must be
kept with head elevated no more than 20 degrees and pulled up in bed, and the feet should not touch the bed
surface or the foot of the bed.
NURSINGTB.COM
DIF: Cognitive Level: Application REF: Page 574
TOP: Bucks Traction KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
3. What will the nurse include when caring for a child in Bucks extension?
a. Positioning the child with hips flexed 90 degrees at all times
b. Keeping the weights in contact with the floor
c. Checking for skin irritation from traction equipment
d. Releasing the weights on a schedule
ANS: C
The skin exposed to frequent friction may break down.
DIF: Cognitive Level: Application REF: Page 577
OBJ: 6 TOP: Traction KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
4. The nurse is reviewing the characteristics of Ewings sarcoma. Which statement if made by the nurse
indicates correct understanding of this disease?
a. Amputation is the accepted treatment.
b. The disease is sensitive to radiation and chemotherapy.
c. Metastasis is rare.
d. The disease is more prevalent among toddlers and preschoolers.
ANS: B
Ewings sarcoma is sensitive to radiation therapy and chemotherapy. Amputation of the affected extremity is
not recommended. This cancer occurs in school-age children and does metastasize.
DIF: Cognitive Level: Comprehension REF: Page 583
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 220
TOP: Ewings Sarcoma KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
5. What characteristic manifestation does the nurse caring for a child with Duchennes muscular dystrophy
document?
a. Ambulates by holding onto furniture
b. Exhibits atrophy of the calf muscles
c. Falls frequently and is clumsy
d. Has delayed fine-motor development
ANS: C
Frequent falling and clumsiness are clinical manifestations of Duchennes muscular dystrophy.
DIF: Cognitive Level: Knowledge REF: Page 581
TOP: Duchennes Muscular Dystrophy KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
6. The nurse assessing a child with juvenile rheumatoid arthritis notes the childs right knee and ankle are
swollen, warm, and tender. The child has a temperature of 38.8 C (102 F) and abdominal pain. What type of
juvenile rheumatoid arthritis do these findings suggest?
a. Psoriatic
b. Enthesitis
c. Systemic
d. Acute febrile
ANS: C
The systemic form of juvenile rheumatoid arthritis is associated with an elevated temperature, erythrocyte
sedimentation rate (ESR), and C-reactive protein; abdominal pain; and a macular rash.
DIF: Cognitive Level: Application REF: PageNURSINGTB.COM
583
TOP: Juvenile Rheumatoid Arthritis KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
7. The nurse is providing instructions about how to treat a sprained ankle. What statement by the mother does
the nurse recognize as indicative of a need for additional teaching?
a. Apply warm compresses to the ankle for the first 24 hours.
b. Put an ice pack on the ankle, alternating 30 minutes on with 30 minutes off.
c. Wrap the ankle in an Ace bandage for support.
d. Keep the leg elevated when sitting.
ANS: A
Heat is not a treatment for soft tissue injuries. The principles of managing soft tissue injuries are rest, ice,
compression, and elevation.
DIF: Cognitive Level: Application REF: Page 573
OBJ: 4 TOP: Soft Tissue Injury
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
8. How does Russell traction provide adequate skin traction?
a. Subluxates the tibia
b. Does not interfere with range of motion
c. Prevents the knee from flexing
d. Supplies continuous pull in two directions
ANS: D
Russell traction is skin traction, similar to Bucks, with a sling positioned under the knee, which prevents
subluxation of the tibia. Although the traction interferes with full ROM, the patient can change position
without disrupting the continuous pull in two directions.
NURSINGTB.COM
