Pediatric Nursing - Chapter 20 Exam-
Questions and Answers Latest Update
Which would the nurse expect to assess on a 3-week-old infant with developmental
dysplasia of the hip (DDH)?
1. Excessive hip abduction
2. Femoral lengthening of an affected leg
3. Asymmetry of gluteal and thigh folds
4. Pain when lying prone - Correct Answer 3. In DDH, asymmetrical thigh and gluteal
folds are frequently present.
Which should the nurse stress to the parents of an infant in a Pavli harness for
treatment of developmental dysplasia of the hip (DDH)?
1. Put socks on over the foot pieces of the harness to help stabilize the harness
2. Use lotion or powder on the skin to prevent rubbing of straps
3. Remove the harness during diaper changes for ease of cleaning the diaper area
4. Check under the straps at least two to three times daily for red areas - Correct
Answer 4. Checking under straps frequently is suggested to prevent skin breakdown.
Which can occur in untreated developmental dysplasia of the hip (DDH)? Select all that
apply
1. Duck gait
2. Pain
3. Osteoarthritis in adulthood
4. Osteoporosis in adulthood
5. Increased flexibility of the hip join in adulthood. - Correct Answer 1, 2, 3.
1. Due to abnormal hip joint function, the patients gait is stiff and waddling.
2. Due to abnormal femoral head placement, the patient may experience pain and
decreased flexibility in adulthood.
3. Due to abnormal femoral head placement, the patient may experience osteoarthritis
in the hip joint in adulthood.
The nurse is teaching about congenital clubfoot in infants. The nurse evaluates the
teaching as successful when the parent states that clubfoot is best treated when?
1. Immediately after diagnosis
2. At age 4 to 6 months
3. Prior to walking (age 9 to 12 months)
4. After walking is established (age 15 to 18 months) - Correct Answer 1. The best
outcomes for clubfoot are seen if casting begins as soon as the diagnosis is made.
, The nurse tells the parent that other conditions can be associated with congenital
clubfoot. (Select all that apply)
1. Myelomeningocele
2. Cerebral Palsy
3. Diastrophic dwarfism
4. Breech position in utero
5. Prematurity
6. Fetal alcohol syndrome - Correct Answer 1, 2, 3.
1. Myelomeningocele
2. Cerebral Palsy
3. Diastrophic dwarfism
When planning a rehabilitative approach for a child with ontogenesis imperfect, the
nurse should prevent which of the following? (Select all that apply)
1. Positional contractures and deformities
2. Bone infection
3. Muscle weakness
4. Osteoporosis
5. Misalignment of lower extremity joints. - Correct Answer 1, 3, 4, 5
1. Positional contractures and deformities
3. Muscle weakness
4. Osteoporosis
5. Misalignment of lower extremity joints
Which classification of ontogenesis imperfect is lethal in utero and in infancy?
1. Type I
2. Type II
3. Type III
4. Type IV - Correct Answer 2. Type II is lethal in utero and in infancy because of
multiple fractures and deformities and underdeveloped lungs.
When counseling the parents of a child with ontogenesis imperfect, the nurse should
include which of the following? (Select all that apply)
1. Discourage future children because the condition is inherited
2. Provide education about the child's physical limitations.
3. Give the parents a letter signed by the PCP explaining ontogenesis imperfect
4. Provide information on contacting the ontogenesis imperfect foundation
5. Encourage the parents to treat the child like their other children
6. Encourage the use of calcium to decrease the risk of fractures. - Correct Answer 2,
3, 4
2. So that PT and appropriate activity can be encouraged.
3. OI is frequently confused with child abuse, a signed letter can ease the stress of an
ER visit.
4. This organization can provide info and support for family of a child with this condition.
Questions and Answers Latest Update
Which would the nurse expect to assess on a 3-week-old infant with developmental
dysplasia of the hip (DDH)?
1. Excessive hip abduction
2. Femoral lengthening of an affected leg
3. Asymmetry of gluteal and thigh folds
4. Pain when lying prone - Correct Answer 3. In DDH, asymmetrical thigh and gluteal
folds are frequently present.
Which should the nurse stress to the parents of an infant in a Pavli harness for
treatment of developmental dysplasia of the hip (DDH)?
1. Put socks on over the foot pieces of the harness to help stabilize the harness
2. Use lotion or powder on the skin to prevent rubbing of straps
3. Remove the harness during diaper changes for ease of cleaning the diaper area
4. Check under the straps at least two to three times daily for red areas - Correct
Answer 4. Checking under straps frequently is suggested to prevent skin breakdown.
Which can occur in untreated developmental dysplasia of the hip (DDH)? Select all that
apply
1. Duck gait
2. Pain
3. Osteoarthritis in adulthood
4. Osteoporosis in adulthood
5. Increased flexibility of the hip join in adulthood. - Correct Answer 1, 2, 3.
1. Due to abnormal hip joint function, the patients gait is stiff and waddling.
2. Due to abnormal femoral head placement, the patient may experience pain and
decreased flexibility in adulthood.
3. Due to abnormal femoral head placement, the patient may experience osteoarthritis
in the hip joint in adulthood.
The nurse is teaching about congenital clubfoot in infants. The nurse evaluates the
teaching as successful when the parent states that clubfoot is best treated when?
1. Immediately after diagnosis
2. At age 4 to 6 months
3. Prior to walking (age 9 to 12 months)
4. After walking is established (age 15 to 18 months) - Correct Answer 1. The best
outcomes for clubfoot are seen if casting begins as soon as the diagnosis is made.
, The nurse tells the parent that other conditions can be associated with congenital
clubfoot. (Select all that apply)
1. Myelomeningocele
2. Cerebral Palsy
3. Diastrophic dwarfism
4. Breech position in utero
5. Prematurity
6. Fetal alcohol syndrome - Correct Answer 1, 2, 3.
1. Myelomeningocele
2. Cerebral Palsy
3. Diastrophic dwarfism
When planning a rehabilitative approach for a child with ontogenesis imperfect, the
nurse should prevent which of the following? (Select all that apply)
1. Positional contractures and deformities
2. Bone infection
3. Muscle weakness
4. Osteoporosis
5. Misalignment of lower extremity joints. - Correct Answer 1, 3, 4, 5
1. Positional contractures and deformities
3. Muscle weakness
4. Osteoporosis
5. Misalignment of lower extremity joints
Which classification of ontogenesis imperfect is lethal in utero and in infancy?
1. Type I
2. Type II
3. Type III
4. Type IV - Correct Answer 2. Type II is lethal in utero and in infancy because of
multiple fractures and deformities and underdeveloped lungs.
When counseling the parents of a child with ontogenesis imperfect, the nurse should
include which of the following? (Select all that apply)
1. Discourage future children because the condition is inherited
2. Provide education about the child's physical limitations.
3. Give the parents a letter signed by the PCP explaining ontogenesis imperfect
4. Provide information on contacting the ontogenesis imperfect foundation
5. Encourage the parents to treat the child like their other children
6. Encourage the use of calcium to decrease the risk of fractures. - Correct Answer 2,
3, 4
2. So that PT and appropriate activity can be encouraged.
3. OI is frequently confused with child abuse, a signed letter can ease the stress of an
ER visit.
4. This organization can provide info and support for family of a child with this condition.
