stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
CH. 24 The with a Musculoskeletal Condition Flashcards | StudBud
Explore
/
CH. 24 The with a Musculoskeletal Condition
CH. 24 The with a Musculoskeletal Condition
85 terms
·
StudBud Administration
·
67 plays
Imported from external platform
Flashcards
85 cards
F
Practice quiz
P
Host live
L
Questions
85
Answers
1
COMMON SPORTS INJURIES (PG.586, TABLE 24.1)
INJURED KNEE: RESULT OF STRESS ON THE KNEE LIGAMENTS, SERIOUS
CONCUSSION: BLOW TO THE HEAD FOLLOWED BY ALTERATIONS
SPRAIN OR STRAINED ANKLE: INJURE GROWTH PLATE; X-RAY FILMS IMPORTANT
"STINGERS" OR "BURNERS": COMMON NECK INJURY, PLAYER HITS ANOTHER IN HEAD
2
ASSESS OF MUSCULOSKELETAL SYSTEM IN GROWING CHILD
UTERINE POSITIONING; LAST 4 TO 6 MONTHS, CURVATURE OF NEWBORN IS C SHAPE
NEWBORN HIP HAS LIMITED INTERNAL ROTATION ROM
FEET NORMALLY TURN INWARD (VARUS) OR OUTWARD (VALGUS)
CHANGES W/ MASTERY OF MOTOR SKILLS TO DOUBLE S CURVE IN CHILDHOOD
3
LEGG-CLAVE-PERTHES DISEASE (COXA PLANA): PATHOPHYSIOLOGY
OSTEOCHONDROSES BLOOD SUPPLY TO THE EPIPHYSIS OR END OF THE BONE
BOYS BETWEEN 5 & 12 Y/O, HEALING OCCURS SPONTANEOUSLY DURING 2 TO 4 Y/O
TISSUE DEATH INADEQUATE BLOOD SUPPLY, AVASCULAR NECROSIS
4
SPORT INJURIES: PREVENTION
ADEQUATE WARM-UP AND COOL-DOWN PERIODS; YEAR-ROUND CONDITIONING
PROPER SUPERVISION BY ADULTS, SAFE, WELL-FITTING EQUIPMENT, AVOID PAIN
5
SELECTED RECREATIONAL ACTIVITIES AND THEIR RISKS: BALLET
STRAINS, SHIN SPLINTS, & SPINAL DEVIATIONS.
PREVENTION: SKILLED COACHING, NUTRITION PLANNING, EDUCATION
DELAYED MENARCHE & EATING DISORDERS. HIGH RISK FOR STRESS FRACTURES,
6
TRACTION IN CHILDREN
BUCK'S EXTENSION: SKIN TRACTION OF FRACTURE OF THE FEMUR, HIP AND KNEE.
SKELETAL TRACTION: STEINMANN PIN OR KIRSCHNER WIRE, INSERTED INTO BONE
RUSSELL TRACTION: POSITIONED UNDER THE KNEE SUSPENDS DITAL THIGH ABOVE BED
TRACTION IS APPLIED TO PIN. "NINETY-NINETY OR NINETY DEGREE-NINETY DEGREE
7
a nurse is caring for a 15-year-old boy after left lower extremity amputation surgery after a dx of osteosarcoma. task?
Reposition for comfort.
Provide emotional support.
Medicate for pain as ordered.
Remind him that he no longer has a left foot.
8
EWING'S SARCOMA: TREATMENT AND NURSING CARE
AMPUTATION IS NOT GENERALLY RECOMMENDED, TUMOR SENSITIVE TO RADIO AND CHEMO
CHILD WARNED AGAINST WEIGHT BEARING ON BONE
DURING THERAPY TO HELP PREVENT PATHOLOGICAL FRACTURES
9
TORTICOLLIS (WRY NECK): MANIFESTATIONS
PASSIVE STRECTHING, ROM EXERCISES, PHYSICAL THERAPY
ASSOCIATED IN INJURY, INFLAMMATION, NEURO DISORDERS,
NURSING INTERVENTION IS PRIMARILY THAT OF DETECTION
SURGICAL CORRECTION IF CONDITION PERSISTS BEYOND 2 Y/O
10
NURSING RESPONSIBILITIES FOR TRACTION
NEURO CHECKS TO TOES FOR WARM COLOR. OBSERVE FOR CYANOSIS, NUMBNESS
OR IRRITATION FROM ATTACHMENTS, TIGHT BANDAGES; SEVERE PAIN; HYPOXIA
OR ABSENCE OF PULSE RATES
11
JUVENILE IDIOPATHIC ARTHRITIS (JUVENILE RHEUMATOID ARTHRITIS): CONTINUED SYSTEMIC ARTHRITIS
FEVER ABOVE 39.5°C (103°F) PERSISTING FOR MORE THAN 10 DAYS
NONPRURITIC MACULAR RASH, ABDOMINAL PAIN, ELEVATED ESR, C-REACTIVE PROTEIN
PRESENCE OF ANTINUCLEAR ANTIBODIES, ENLARGED LIVER AND SPLEEN
1 TO 3 YRS & 8 TO 10 YRS, JOINT SYMPTOMS MMAY BE ABSENT AT ONSET
12
JUVENILE IDIOPATHIC ARTHRITIS (JUVENILE RHEUMATOID ARTHRITIS): MANIFESTATIONS
SYSTEMIC ARTHRITIS: FEVER, RASH & JOINT INFLAMMATION. UVEITIS 10% OF CHILD
OLIGO ARTHRITIS: FOUR OR FEWER JOINTS, UVEITIS INFLAMMED EYE, 30% IN CHILD
POLYARTHRITIS: FIVE OR MORE JOINTS, UVEITIS OCCURS IN 10% OF CHILDREN
13
What are appropriate interventions when caring for a child in traction? (Select all that apply.)
Upright for 30 minutes a day
Use of trapeze for positioning
Neurovascular checks performed regularly
Skin integrity monitored regularly
14
SELECTED RECREATIONAL ACTIVITIES AND THEIR RISKS: GYMNASTICS
WRIST BRACES. NUTRITIONAL PLANNING AND EDUACTION
DELAYED MENSTRUATION & EATING DISORDERS, TRAUMA & OVERUSE INJURIES
LARGE JOINTS AND SPINE ARE COMMON.
PREVENTION: MUSCLE STRENGTHENING EXERCISES, FLEXIBILITY EXERCISES
15
A "NEUROVASCULAR CHECK" FOR TISSUE PERFUSION INCLUDES WHICH OF THE FOLLOWING OBSERVATIONS (SATA)
MOVEMENT AND SENSATION
PULSE
EQUAL PUPIL SIZE OF EYES
COLOR AND CAPILLARY REFILL
16
FRACTURES OF THE FEMUR IN EARLY CHILDHOOD
CHILD ABUSE SHOULD BE EXPECTED RESULTING IN MANUAL TWISTING OF EXTREMITY
FEMUR (THIGH BONE) LARGEST AND STRONGEST BONE
SPIRAL FRACTURE: FORCEFUL TWIST MOTION
17
SELECTED RECREATIONAL ACTIVITIES AND THEIR RISKS: SKIING, SNOWBOARDING
RELATED TO FALLS. BETTER EQUIPMENT, CONTROLLED SLOPE CONDITIONS
SEPERATION OF SKIERS BY SKILL LEVEL TO DECREASE RATE OF INJURY
18
TYPES OF BACTERIA/INFECTIONS
SALMONELLA AND PSEUDOMONAS FOUND IN ADOLESCENTS, IV DRUG USERS.
STAPHYLOCOCCUS AUREUS IS RESPONSIBLE FOR OSTEOMYELITIS IN >5 Y/O CHILDREN
HAEMOPHILUS INFLUENZA: MOST COMMON IN YOUNGER CHILDREN
19
WHAT TO ASSESS?
OBSERVATION
RANGE-OF-MOTION (ROM)
PALPATION
GAIT ASSESSMENT
20
TRAUMATIC FRACTURES: PATHOPHYSIOLOGY
EPIPHYSIS: GROWTH PLATE AT LONG BONES, INTERFERE W/ LONGITUDINAL GROWTH.
COMPOUND FRACTURE: WOUND IN SKIN ACCOMPANIES BROKEN BONE
SIMPLE FRACTURE: BROKEN BONE, SKIN OVER THE AREA IS NOT
GREENSTICK FRACTURE: INCOMPLETE FRACTURE, ONE BONE BROKEN, ONE BENT
21
OSTEOMYELITIS: TREATMENT AND NURSING CARE
SUSPECTED IF FEVER LASTS BEYOND 5 DAYS
BED IS FOLLOWED BY WHEELCHAIR ACCESS, BUT WEIGHT BEARING SHOUDL BE AVOIDED
IV ANTIBIOTICS 4 TO 6 WEEK PERIOD, MONITOR INFANT OR CHILD TOXIC RESPONSE
22
MUSCULAR DYSTROPHY: MANIFESTATIONS
SYMPTOMS NOTED 2 & 6 Y/O, HX OF DELAYED MOTOR DEVELOPMENT DURING INFANCY
MYELOGRAM: SHOWS DECREASES AMPLITUDE DURATION OF MOTOR UNIT POTENTIALS
PSEUDOHYPERTROPHIC, FREQUENT FALLING, CLUMSINESS, CONTRACTURES ANKLES & HIP
23
TREATMENT OF FRACTURES WITH TRACTION
WEIGHTS AND PULLEYS EXTEND THE LIMB, BUCK'S EXTENSION SUSPENDED VERTICALLY
BRYANT'S TRACTION: TREATING FRACTURED FEMUR IN CHILDREN YOUNGER THAN 2 Y/O
24
CHILD ABUSE: EMOTIONAL NEGLECT
SOCIAL OR EMOTIONAL ISOLATION OF A CHILD
INTENTIOANL OMISSION OF VERBAL OR BEHAVIORAL ACTIONS
DEVELOPMENT OF A HEALTHY SELF-ESTEEM
25
EWING'S SARCOMA: PATHOPHYSIOLOGY
MALIGNANT GROWTH OCCURS MARROW OF LONG BONES
60% SURVIVAL RATE, PRIMARY SITES OF METASTATASIS ARE LUNGS AND LONG BONES
26
SCOLIOSIS: NURSING CARE
SCREENING FOR MANAGEMENT, DETECTING MILD CASES AMENDABLE TO NONSURGICAL TX
.
27
OBSERVATION OF MUSCLE TONE (STRENGTH OF EXTREMITIES)
ASSESS SYMMETRY OF MOVEMENT & STRENGTH & CONTOUR OF THE BODY & EXTREMITIES
CHILD PUSH AWAY THE EXAMINER'S HAND W/ HIS OR HER FOOT OR HAND FOR TEST.
28
MUSCULAR DYSTROPHY: TREATMENT AND NURSING CARE
MAINTAIN THE QUALITY OF LIFE
DEPRESSION DUE TO CHILD CANNOT COMPETE W/ PEERS DEALING W/ SOCIAL PRESSURE
TREATMENT AT THIS TIME IS MAINLY SUPPORTIVE TO PREVENT CONTRACTURES
TEAM: PSYCHOLOGICAL, NUTRITIONAL, PHYSIOTHERAPY, SOCIAL AND FINANCIAL.
29
JUVENILE IDIOPATHIC ARTHRITIS (JUVENILE RHEUMATOID ARTHRITIS): TREATMENT (GOALS OF THERAPY)
PROMOTE MOBILITY AND PRESERVE JOINT FUNCTION, PROMOTE GROWTH & DEVELOPMENT
NSAIDS AND METHOTREXATE BE PROVIDED.
REDUCE JOINT PAIN AND SWELLING, PROMOTOE INDEPENDENT FUNCTIONING
HELP THE CHILD AND FAMILY TO ADJUST TO LIVING WITH A CHRONIC DISEASE
30
SELECTED RECREATIONAL ACTIVITIES AND THEIR RISKS: RUNNING
POORLY ABSORBED FOOT IMPACT. MUSCLE FATIGUE ENVIRONMENTAL TEMP
ADEQUATE REST ARE ESSENTIAL. SHIN SPLINTS INVOLVE PAIN OVER ANTERIOR TIBIA
SHOE ORTHOTICS, RUNNING ON SOFT SURFACE, CROSS-TRAINING, RESTING
PROPER EXERCISES BEFORE RUNNING, GOOD IMPACT SHOES, CROSS-TRAINING
31
ASSESSING FOR COMPARTMENT SYNDROME
EDEMA OR SWELLING PRESSES ON THE VESSELS AND TISSUES,
PROGRESSIVE LOSS OF TISSUE PERFUSION CAUSE BY INCREASED PRESSURE
FASCIOTOMY TO RELIEVE PRESSURE TO RESTORE CIRCULATION AND NEURO CHECKS
CIRCULATION COMPROMISED, NEURO CHECKS IS ABNORMAL
32
COMMON SPORTS INJURIES (CONTINUED)(PG.586, TABLE 24.1)
MUSCLE CRAMPS: CAUSED BY INJURY BLOOD FLOW, OR ELECTOLYTE DEFICIENCIES
SHIN SPLINTS: PAIN & DISCOMFORT IN LOWER LEG, REPATED RUNNING ON HARD FLOOR
33
OBSERVATION OF GAIT
BOW-LEGGED (GENU VARUM), KNOCK-KNEED (GENU VALGUM), NOT MATURE BY 6 Y/O
EXCESSIVE IN-TOEING, OR POINTING OF THE TOE INWARD, RESOLVES BY 4 Y/O
BY 6 Y/O, RESEMBLES ADULT WALK W/ EQUAL STRIDE
18 MONTHS OF AGE, WIDE BASE NARROWS
34
THE NURSE REINFORCES HOME CARE INSTRUCTIONS FOR PARENTS OF A CHILD WHO HAS HAD AN ABOVE-THE-KNEE CAST APPLIED:
KEEP SMALL TOYS OUT OF THE CHILD'S REACH
ELEVATE THE LEG ON PILLOWS
CONTACT THE HEALTH CARE PROVIDER IF THE CHILD COMPLAINS OF NUMBNESS
PLACE A HEATING PAD ON THE TOES IF THEY FEEL COLD
35
MUSCULOSKELETAL SYSTEM: LABORATORY TESTS AND TREATMENTS
RHEUMATOID FACTOR (RF) MAY HELP DIAGNOSE RHEUMATOLOGICAL DISORDERS
ARTHROSCOPY PERFORMED ON ADOLESENTS W/ SPORT INJURIES, LOOK INSIDE INJURY
RULE OUT SEPTIC ARTHRITIS OR OSTEOMYELITIS.
CBC AND ERYTHROCYTE SEDIMENTATIONS RATE (ESR),
36
CHILD ABUSE: EMOTIONAL ABUSE
INTENTIONAL VERBAL ACTS
THREATENING
DESTRUCTION OF SELF-ESTEEM
REJECT
37
DIAGNOSTIC TESTS AND TREATMENTS
BONE SCANS: IDENTIFY CONDITIONS, MAY NOT BE SEEN IN X-RAY.
MAGNETIC RESONANCE IMAGING: DETAILED PICTURES OF TISSUES AND ORGANS.
ULTRASOUND: RULE OUT FOREIGN BODIES SOFT TISSUES, JOINT, DYSPLASIA ON HIP.
COMPUTED TOMOGRAPHY: CROSS-SECTIONAL PICTURE OF THE BONE
38
DISORDERS AND DYSFUNCTION OF THE MUSCULOSKELETAL SYSTEM
FIGHT BACTERIA MAY COME TO THE BONE FROMANOTHER PART OF THE BODY
BETWEEN 5 AND 14 Y/O, LONG BONES CONTAIN FEW PHAGOCYTIC CELLS (WBCS)
INFECTION OF THE BONE OCCURS IN CHILDREN YOUNGER THAN 1 Y/O
39
SHAKEN BABY SYNDROME
DOCUMENT ALL SIGNS OF ABUSE INTERATIONS AS WELL AS VERBAL COMMENTS
LOVING PARENTS SHAKE TO WAKE OR FEED BABY
40
A 14 Y/O girl was diagnosed w/ scoliosis w/ a curve of 30 degrees. What medical intervention will tx include for pt?
Use of a Milwaukee brace
Only exercise to increase muscle tone and posture
Surgery with insertion of a Harrington rod
Transcutaneous electrical muscle stimulation (TENS)
41
SELECTED RECREATIONAL ACTIVITIES AND THEIR RISKS: CHEERLEADING
SPRAINS, FRACTURES, DISLOCATIONS, AND HEAD INJURIES.
ACROBATICS, PYRAMID CLIMBING, AND TOSSING. FALLS r/t INJURIES
SAFETY INSTRUCTIONS IS IMPORTANT, CERTIFIED COACH SHOULD BE PRESENT
42
TORTICOLLIS (WRY NECK): PATHOPHYSIOLOGY
INJURED DURING BIRTH, BREECH AND FORCEPS DELIVERY, CONGENITAL HIP DYSPLASIA
NECK MOTION LIMITED, CERVICAL SPINE IS ROTATED, SHORTER STERNOCLEIDOMASTOID
43
TREATMENT OF FRACTURES WITH CAST
FIBERGLASS CASTS: LIGHTER, PLASTER CAST: BRIGHT COLORS, CANNOT BE WRITTEN
HANDLED CAREFULLY WITH OPEN PALMS AND EXTENDED FINGERS, PREVENT INDENTS
FIBERGLASS: WATER RESISTANT, PLASTER: DETERIORATE WHEN WATER
FIBERGLASS: DRIES UP WITIN HALF HOUR, PLASTER: DRIES UP 10 TO 72 HOURS
44
CHILD ABUSE: PHYSICAL ABUSE
DELIBERATE INFLUCTION OF INJURY ON A CHILD
SUSPECTED INJURY NOT CONSISTENT WITH HX OR DEVELOPMENTALLEVEL OF THE CHILD
45
OSTEOSARCOMA: TREATMENT AND NURSING CARE
PROBLEMS OF BODY IMAGE, SELF-CONCIOUS ADOLESCENT
PHANTOM LIMB PAIN IS LIKELY, CONTINUED SENSATION OF PAIN IN LIMB
STUMP DRESSING OBSERVED FOR SIGNS OF BLEEDING, VITALS MONITORED, POSITIONED
LIMB IS NO LONGER THERE, PAIN IS VERY REAL & ANALGESIC IS NECESSARY
46
TRACTION APPARATUS CHECKLIST
ROPES ON TH EPULLEYS, KNOTS NOT RESTING AGAINST PULLEYS
BED LINENS NOT ON TRACTION ROPES, COUNTERTRACTION IN PLACE
WEIGHTS HANGING FREELY, WEIGHT OUT OF REACH OF THE CHILD
APPARATUS DOES NOT TOUCH FOOT OF BED
47
SELECTED RECREATIONAL ACTIVITIES AND THEIR RISKS: BASKETBALL, VOLLEYBALL
JUMPING SPORTS INVOLVE INJURY RISK TO ANKLES, KNEES AND FINGERS
ANKLE SPRAIN, TENDONITIS, STRESS FACTURES, AND BLISTERS ARE COMPLICATIONS.
48
PEDIATRIC TRAUMA: SOFT TISSUE INJURIES
SOFT TISSUE REFERRED TO AS HEMATOMA, OR A "BLACK-AND-BLUE MARK"
STRAIN: MICROSCOPIC TEAR OF MUSCLE OR TENDON, EDEMA AND PAIN.
SPRAIN: LIGAMENT IS TORN OR STRETCHED AWAY BONE AT THE POINT OF TRAUMA
CONTUSION: TEARING OF SUBUTANEOUS TISSUE RESULTING HEMORRHAGE, EDEMA & PAIN
49
SLIPPED FEMORAL CAPITAL EPIPHYSIS: PATHOPHYSIOLOGY
KNOWN AS COXA VARA, SPONTANEOUS DISPLACEMENT OF THE EPIPHYSIS OF THE FEMUR
INCREASED RATES OF OBESITY, THIGH PAIN & LIMP, INABILITY BEAR WEIGHT ON LEG
DURING RAPID GROWTH OF THE PREADOLESCENT, NOT RELATED TO TRAUMA
X-RAY STUDY CONFIRMS DIAGNOSIS
50
LEGG-CALVE-PERTHES DISEASE: NURSING CARE
.
TOTAL IMMOBILITY OR PARTIAL MOBILITY. TRACTION, CAST AND BRACE CARE.
51
SCOLIOSIS: CAUSES
IDIOPATHIC SCOLIOSIS IS CURVED AT LEAST 10° ANTERIOR-POSTERIOR SPINAL X-RAY
STRUCTURAL (FIXED) CHANGES IN THE SHAPE OF THE VERTEBRAE OR THORAX
FUNCTIONAL IS CAUSED BY POOR POSTURE, NOT A SPINAL DISEASE
52
SCOLIOSIS: TREATMENT
CURVES UP TO 20° DOES NOT NEED TREATMENT
BEYOND 45° SURGERY TO FUSE BONES TO STOP DEFORMITY OF BONES
CURVES 20°-40° REQUIRE MILWAUKEE BRACE WORN 16 TO 23 HRS SHIRT PROTECT SKIN
53
OSTEOSARCOMA: MANIFESTATIONS
DIAGNOSIS IS CONFIRMED BY X-RAY, PHYSICAL EXAM, CT, & BONE SCAN
FLEXING EXTREMITY LESSENS PAIN, LATER PATHOLOGICAL FRACTURE MAY OCCUR
PAIN AND SWELLING AT SITE IN ADOLESCENTS, SPORT INJURY OR GROWING PAINS
54
DUCHENNE'S MUSCULAR DYSTROPHY
BECKER'S PSEUDOHYPERTROPHIC MUSCULAR OCCURS CHILDHOOD SLOWLY.
GROUP OF DISORDERS PROGRESSIVE MUSCLE DEGENERATION OCCURS.
SEX-LINKED RECESSIVE INHERITED OCCURS IN BOYS
55
SLIPPED FEMORAL CAPITAL EPIPHYSIS: NURSING CARE
NURSE ASSISTS IN PERFORMING ROM ACTIVITIES, GUIDES GRADUAL RESUMPTION
CARING FOR A CHILD IN TRACTION AND PREOPERATIVE AND POSTOPERATIVE CARE USED
EDUCATION CONCERNING MANAGEMENT OF WEIGHT
56
PATIENT IN TRACTION CHECKLIST
SKIN INTEGRETY, PAIN AND ITS RELIEFBY MED, CONSTIPATION, USE OF TRAPEZE.
HEELS OF FEET ELEVATED FROM BED, ROM UNAFFECTED PARTS CHECKED CONTINUALLY
ANTIEMBOLISM STOCKINGS / FOOT PUMPS IN PLACE AS ORDERED, NEURO CHECKS
BODY IN ALIGNMENT, HEAD OF BED NO HIGHER THAN 20° FOR CONTERTRACTION
57
CHILD ABUSE: PHYSICAL NEGLECT
FAILURE TOPROVIDE TFOR THE BASIC PHYSICAL NEEDS OF THE CHILD
FOOD, CLOTHING, SHELTER, AND BASIC CLEANLINESS
58
LEGG-CLAVE-PERTHES DISEASE: TREATMENT
SELF-LIMITING DISORDER HEALS SPONTANEOUSLY, SLOWLY COURSE OF 2 TO 4 YEARS
.
59
SPORTS INJURIES
EXAMINATIONS SHOULD BE UPDATED WITH QUESTIONNAIRES, HX, AND ORTHOPEDIC
AMERICAN ACADEMY OF PEDIATRICS (AAP) RECOMMEND ANNUAL PHYSICAL EXAM
60
A YELLOW BRUISE IS APPROXIMATELY:
5 TO 7 DAYS OLD
10 TO 14 DAYS OLD
7 TO 10 DAYS OLD
2 DAYS OLD
61
OSTEOMYELITIS: DIAGNOSIS
X-RAY EXAMINATION MAY FAIL TO REVEAL INFECTION,
WBC COUNT, ERYTHROCYTE SEDIMENTATION RATE (ESR),
MICROBIOLOGY CULTURE OF ASPIRATED DRAINAGE OR A BONE SCAN MAY BE DIAGNOSTIC
62
MANAGING SOFT TISSUE INJURIES (CONTUSION, SPRAIN, & STRAIN)
REST
ELEVATION
ICE
COMPRESSION
63
Mother of a 3 Y/O tells the nurse she is concerned about her child’s bow-legged appearance. What is the best response?
“Do not worry about it; this is normal.”
“A referral to a pediatric orthopedic physician is indicated immediately.”
“Is your child having any pain or difficulty walking?”
“I would be concerned if I were you.”
64
SCOLIOSIS: SIGNS AND SYMPTOMS
DEVELOP SLOWLY AND ARE NOT PAINFUL, DETECTION BY SCHOOL NURSE FOR SCREENING
DIAGNOSIS IS MADE BY SPINAL X-RAY & CHILD IS IN UPRIGHT POSITION.
ASYMMETRY SEEN FROMTHE BACK WHEN CHILD LEANS FORWARD
DIFFERENT HEIGHTS, ONE-SIDED RIB BUMP, & PROMINENT SCAPULA
65
A TEENAGER WHO HAD A CAST APPLIED AFTER A TIBIA FRACTURE COMPLAINS THAT HIS PAIN MEDICATION IS NOT WORKING:
CALL THE HEALTH CARE PROVIDER IMMEDIATELY
TRY NONPHARMACOLOGICAL TECHNIQUES OF PAIN RELIEF
EXPLAIN TO THE TEEN THAT A NEW FRACTURE IS EXPECTED TO BE PAINFUL 1ST DAY
FIND OUT IF THERE IS AN ORDER FOR A STRONGER PAIN MEDICATION
66
SELECTED RECREATIONAL ACTIVITIES AND THEIR RISKS: FOOTBALL
DECREASED SERIOUS INJURIES IN CHILDREN PARTICIPATING IN FOOTBALL
IMPROVEMENTS IN TECHNIQUES, PROTECTIVE EQUIPMENT, GAME EXERCISES
67
JUVENILE IDIOPATHIC ARTHRITIS (JUVENILE RHEUMATOID ARTHRITIS): PATHOPHYSIOLOGY
MULTIPLE GENES TRIGGER SPORTS INJURY, BACTERIAL OR VIRAL INFECTION TREATED
SYSTEMIC AUTOIMMUNE DISEASE INVOLES JOINTS, CONNECTIVE TISSUES & VISCERA
DIFFER FROMADULT RHEUMATOID ARTHRITIS, NOT A RARE DISEASE
(JIA) MOST COMMON ARTHRITIC CONDITION OF CHILDHOOD
68
SLIPPED FEMORAL CAPITAL EPIPHYSIS: TREATMENT
SURGERY SCHEDULED TO INSERT A SCREW TO STABILIZE THE BONE
SERIOUS COMPLICATIONS LEADING TO DISTURBANCE OF CIRCULATION OF EPIPHYSIS
RESULTING IN NECROSIS OF THE HEAD OF THE FEMUR.
69
AN ABNORMAL S-SHAPED CURVATURE OF THE SPINE SEEN IN SCHOOL-AGE CHILDREN IS:
SCIATICA
SCOLIOSIS
SCABIES
SCLEROSIS
70
NEUROVASCULAR CHECK
CAPILLARY REFILL TIME, WARMTH
PERIPHERAL PULSE RATE AND QUALITY, COLOR
MOVEMENT AND SENSATION
71
NEUROLOGICAL EXAMINATION
SENSORY
PRESENCE OR ABSENCE OF SPASMS
VITAL PART OF COMPREHENSIVE MUSCULOSKELETAL EXAM
REFLEXES
72
OSTEOSARCOMA: PATHOPHYSIOLOGY
TWO TYPES OF BONE TUMORS: OSTEOARCOMA AND EWING'S SARCOMA
PRIMARY MALIGNANT TUMOR OF LONG BONES
ONSET 10 & 15 Y/O, COMMONLY IN TALL ADOLESCENTS, RAPID BONE GROWTH
HX OF RETINOBLASTOMA HIGH RISK, LUNGS METASTATIS; BRAIN & OTHER BONE TISSUE
73
What is the most accurate diagnostic tool in diagnosing suspected osteomyelitis in the pediatric patient?
Bone scan
RBC count
X-ray
Serum albumin level
74
SCOLIOSIS: PATHOPHYSIOLOGY
DISABILITY, HEART AND LUNG COMPLICATIONS
SKELETAL DETERIORATION DOES NOT STOP MATURITY, AGGRAVATED BY PREGNANCY
S-SHAPED CURVATURE OF THE SPIN DURING ADOLESCENCE COMMONLY IN GIRLS.
UNTREATED PROGRESSIVE SCOLIOSIS LEAD TO BACK PAIN, FATIGUE,
75
SELECTED RECREATIONAL ACTIVITIES AND THEIR RISKS: WRESTLING
CONCUSSIONS, NECK STRAINS, & SPINAL INJURIES ARE COMMON
SKIN DERMATITIS & INFECTION OCCUR FROM FLOOR MATS
SKILLED COACHING, NUTRITION EDUCATION AND PLANNING IS IMPORTANT
BASED ON WEIGHT, BINGEING & PURGING BEHAVIOR COMMONLY FOUND IN WRESTLING
76
CHILD ABUSE: SAFETY ALERT ON BRUISES AND HEMATOMAS
ASK YOURSELF, "DOES THE BRUISE MATCH THE CAREGIVER'S EXPLANATION ON CONCERN
5 TO 7 DAYS: GREEN; 7 TO 10 DAYS: YELLOW
1 TO 2 DAYS: SWOLLEN TENDER; 2 TO 5 DAYS: RED OR PURPLE
10 TO 14 DAYS: BROWN; 14 TO 28 DAYS: CLEAR
77
CHILD ABUSE: SEXUAL ABUSE
.
INVOLVES ACT PERFORMED ON A CHILD FOR SEXUAL GRATIFICATION OF ADULT
78
TREATMENT OF SOFT TISSUE INJURIES
COLD PACK AND ELASTIC WRAP
AFTER 30-MIN PERIOD, ISCHEMIA OCCURS AND IMPEDE TISSUE PERFUSION.
ALTERNATE 30-MIN INTERVALS
79
A TYPE OF FRACTURE IN A YOUNG CHILD THAT MAY BE INDICATIVE OF CHILD ABUSE IS:
GREENSTICK FRACTURE OF THE TIBIA
ALIGNED FRACTURE OF THE WRIST
PATHOLOGICAL FRACTURE OF THE FIBULAR
SPIRAL FACTURE OF THE FEMUR
80
DIFFERENES BETWEEN CHILD AND ADULT
WHEN CHILD SITS & STANDS CURVE CHANGES TO CONCAVE OR KYPHOSIS OR LORDOSIS
AT BIRTH, THORACIC AND SCARAL AREAS OF THE CHILD'S SPINE IS CONVEX CURVE
81
Terminology: When intentional omission of verbal or behavioral actions that are necessary for develop of health.
Emotional neglect
Physical abuse
Emotional abuse
Physical neglect
82
PREVENTION OF PEDIATRIC TRAUMA
BICYCLE HELMETS AND OTHER ATHLETIC PROTECTIVE GEAR, POOL FENCES
WINDOW BARS, DEADBOLT LOCKS, & LOCKS ON CABINETS PREVENT INJURIES FOR CHILD
PROPER USE OF PEDESTRIAN SAFETY PRACTICES, CAR SEAT RESTRAINTS,
83
JUVENILE IDIOPATHIC ARTHRITIS (JUVENILE RHEUMATOID ARTHRITIS): NURSING CARE
MOIST HEAT, EXCERCISE ARE ADVISED, WHIRLPOOL BATHS, HOT PACKS, STIFFNESS
SWIMMING CAN HELP MAINTAIN JOINT MOBILITY
SLEEP, REST, GENERAL HEALTH MEASURES ARE IMPORTANT
84
SELECTED RECREATIONAL ACTIVITIES AND THEIR RISKS: HOCKEY
INJURIES OCCUR FROM BOTH COLLISIONS WITH OTHER ATHLETES
COLLISIONS WITH PUCKS AND STICKS. PROPER PROTECTIVE EQUIPMENT
DECREASE SERIOUSNESS OF INJURIES WITH GEAR
85
What is the most important nursing intervention to identify and minimize compartment syndrome?
Perform frequent neurovascular checks.
Treat pain with minimum amount needed to control it.
Apply BP cuff above the cast.
v
