Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. What finding would a nurse assessing the neurovascular status of a child in Russell
traction report immediately?
a. Skin that is warm to the touch
b. Capillary refill less than 3 seconds
c. Ability to wiggle toes
d. Bluish colouration of skin
ANS: D
Cyanosis or pallor noted in an extremity is an indication of circulatory impairment.
DIF: Cognitive Level: Application REF: 568 OBJ: 7 | 8
TOP: Neurovascular Assessment KEY: Nursing Process Step: Data
Collection
2. A 13-year-old girl is diagnosed with functional scoliosis. What does a nurse explain as
the cause of this spinal curvature defect?
a. Juvenile rheumatoid arthritis
b. Poor posture
c. Heredity
d. Myelomeningocele
ANS: B
Functional scoliosis usually is caused by poor posture, and it is not a spinal disease.
DIF: Cognitive Level: Knowledge REF: 581 OBJ: N/A
TOP: Scoliosis KEY: Nursing Process Step: Implementation
3. When bathing an infant, what sign does the nurse recognize as a sign of developmental
, dysplasia of the hip?
a. Hypotonicity of the leg muscles
b. One leg is shorter than the other
c. Broadening and flattening of the buttocks
d. Two skinfolds on the back of each thigh
ANS: B
When developmental dysplasia of the hip is present, the leg on the affected side will
appear shorter than the leg on the unaffected side.
DIF: Cognitive Level: Comprehension REF: 574 OBJ: 10
TOP: Developmental Dysplasia of the Hip
KEY: Nursing Process Step: Data Collection
4. What nursing action will significantly decrease the risk of serious complications for a
child in Bryant traction?
a. Neurovascular checks are done frequently.
b. Bandages are wrapped tightly.
c. The child is restrained from rolling over.
d. The child’s buttocks are resting on the bed.
ANS: A
The nurse caring for a child in traction must be alert for Volkmann’s ischemia, which
occurs when circulation is obstructed.
DIF: Cognitive Level: Application REF: 571 OBJ: 7 | 8
TOP: Traction: Volkmann’s Ischemia
KEY: Nursing Process Step: Data Collection
5. Which intervention would be helpful in relieving morning discomfort associated with
juvenile rheumatoid arthritis?
a. Wearing splints at night to prevent extension contractures
b. Applying moist heat packs upon awakening
c. Taking a warm tub bath the evening before
d. Sleeping with two pillows under the head
MULTIPLE CHOICE
1. What finding would a nurse assessing the neurovascular status of a child in Russell
traction report immediately?
a. Skin that is warm to the touch
b. Capillary refill less than 3 seconds
c. Ability to wiggle toes
d. Bluish colouration of skin
ANS: D
Cyanosis or pallor noted in an extremity is an indication of circulatory impairment.
DIF: Cognitive Level: Application REF: 568 OBJ: 7 | 8
TOP: Neurovascular Assessment KEY: Nursing Process Step: Data
Collection
2. A 13-year-old girl is diagnosed with functional scoliosis. What does a nurse explain as
the cause of this spinal curvature defect?
a. Juvenile rheumatoid arthritis
b. Poor posture
c. Heredity
d. Myelomeningocele
ANS: B
Functional scoliosis usually is caused by poor posture, and it is not a spinal disease.
DIF: Cognitive Level: Knowledge REF: 581 OBJ: N/A
TOP: Scoliosis KEY: Nursing Process Step: Implementation
3. When bathing an infant, what sign does the nurse recognize as a sign of developmental
, dysplasia of the hip?
a. Hypotonicity of the leg muscles
b. One leg is shorter than the other
c. Broadening and flattening of the buttocks
d. Two skinfolds on the back of each thigh
ANS: B
When developmental dysplasia of the hip is present, the leg on the affected side will
appear shorter than the leg on the unaffected side.
DIF: Cognitive Level: Comprehension REF: 574 OBJ: 10
TOP: Developmental Dysplasia of the Hip
KEY: Nursing Process Step: Data Collection
4. What nursing action will significantly decrease the risk of serious complications for a
child in Bryant traction?
a. Neurovascular checks are done frequently.
b. Bandages are wrapped tightly.
c. The child is restrained from rolling over.
d. The child’s buttocks are resting on the bed.
ANS: A
The nurse caring for a child in traction must be alert for Volkmann’s ischemia, which
occurs when circulation is obstructed.
DIF: Cognitive Level: Application REF: 571 OBJ: 7 | 8
TOP: Traction: Volkmann’s Ischemia
KEY: Nursing Process Step: Data Collection
5. Which intervention would be helpful in relieving morning discomfort associated with
juvenile rheumatoid arthritis?
a. Wearing splints at night to prevent extension contractures
b. Applying moist heat packs upon awakening
c. Taking a warm tub bath the evening before
d. Sleeping with two pillows under the head
