PEDS and OB Final Exam Complete 110 Questions Verified Q&A

A child has a right femur fracture caused by a motor vehicle crash and is placed in skin traction temporarily until surgery can be performed. During assessment, the nurse notes that the dorsalis pedis pulse is absent on the right foot. Which action should the nurse take? 1. Administer an analgesic. 2. Release the skin traction. 3. Apply ice to the extremity. 4. Notify the health care provider (HCP). - 4-Notify the health care provider (HCP). A child is placed in skeletal traction for treatment of a fractured femur. The nurse develops a plan of care and includes which intervention? 1. Ensure that all ropes are outside the pulleys. 2. Ensure that the weights are resting lightly on the floor. 3. Restrict diversional and play activities until the child is out of traction. 4. Check the health care provider's (HCP's) prescriptions for the amount of weight to be applied - 4- Check the health care provider's (HCP's) prescriptions for the amount of weight to be applied A 4-year-old child sustains a fall at home. After an x-ray examination, the child is determined to have a fractured arm and a plaster cast is applied. The nurse providesinstructions to the parents regarding care for the child's cast. Which statement by the parents indicates a need for further instruction? A. "The cast may feel warm as the cast dries". B. "I can use lotion or powder around the cast edges to relieve itching". C. "A small amount of white shoe polish can touch up a soiled white cast". D. "If the cast becomes wet, a blow drier set on cool setting may be used to dry the cast". - B. "I can use lotion or powder around the cast edges to relieve itching". The parents of a child with juvenile idiopathic arthritis call the clinic nurse because the child is experiencing a painful exacerbation of the disease. The parents ask the nurse if the child can perform range-of-motion exercises at this time. The nurse should make which response? A. "Avoid all exercise during painful periods" B. "Range-of-motion exercises must be performed every day". C. "Have the child perform simple isometric exercises during this time" D. " Administer additional pain medication before performing range-of-motion exercises" - C. "Have the child perform simple isometric exercises during this time" A child who has undergone spinal fusion for scoliosis complains of abdominal discomfort and begins to have episodes of vomiting. On further assessment, the nurse notes abdominal distention. On the basis of these findings, the nurse should take which action? A. Administer an antiemetic B. Increase the IV fluids C. Place the child in a Sims' positionD. Notify the HCP - D. Notify the HCP The 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 instruction? 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 breakdown" D. "I should avoid the use of powered because it will cake under the brace" - C. "I should apply lotion under the brace to prevent skin breakdown" The nurse us assisting the HCP examining a 3-week-old infant with developmental dysplasia of the hip. What test or sign should the nurse expect the HCP to assess? A. Babinski's Sign B. The Moro Reflex C. Ortolani's Maneuver D. The palmar-plantar grasp - C. Ortolani's Maneuver A 1-month-old infant is seen in a clinic and is diagnosed with developmental dysplasia of the hip. On assessment, the nurse understands that which finding should be noted in this condition? a. Limited ROM in the affected hip b. An apparent lengthened femur on the affected sidec. Asymmetrical adduction of the affected hip when the infant is placed supine with the knees and hips flexed d. Symmetry of the gluteal skin folds when the infant is placed prone and the legs are extended against the examining table. - a. Limited ROM in the affected hip Parents bring their 2-week-old infant to a clinic for treatment after a diagnosis of clubfoot made at birth. Which statement by the parents 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 fully 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" - c. " I need to bring my infant back to the clinic in 1 month for a new cast"