Week 7: MSK/NM/Cognitive Alterations

Multiple Choice

Which of the following bones is most commonly fractured in school-age children and adolescents?

• Long bones

• Short bones

• Flat bones

• Irregular bones

Multiple Choice

Which of the following are important aspects of pin care for a patient with traction?

• Sterile Q tips, dry gauze application, documentation

• Applying ice packs, massaging the area, using alcohol wipes

• Changing the pin daily, using soap and water, avoiding documentation

• Leaving the pin site uncovered, using lotion, avoiding cleaning

Pavlik Harness
Spica Cast​

Multiple Choice

Which of the following is NOT a symptom of Developmental Dysplasia of the Hip (DDH) in children?

• Asymmetry of gluteal and thigh folds

• Positive Trendelenburg sign

• Positive Ortolani and Barlow’s tests

• Swollen tender joints

Multiple Select

Which of the following are appropriate nursing interventions for a child in a Pavlik Harness?

• Maintain harness placement for 12 weeks

• Check straps every 1-2 weeks by HCP

• Remove harness for several hours daily

• Perform neurovascular checks and skin integrity frequently

Open Ended

Explain how disease-modifying antirheumatic drugs (DMARDs) help in the management of Juvenile Idiopathic Arthritis.

Multiple Choice

Which of the following is a symptom of scoliosis?

• Morning stiffness

• Asymmetry of scapula, ribs, flanks, shoulders, and hips

• Positive Ortolani test

• Swollen tender joints

Multiple Choice

What is the most common age range for girls to be diagnosed with idiopathic scoliosis?

• 2-5 years old

• 8-15 years old

• 16-20 years old

• Over 20 years old

Multiple Choice

Which of the following is the recommended treatment for scoliosis with a spinal curve greater than 45 degrees?

• Observation

• Bracing

• Spinal Fusion with Rod Placement

• Physical Therapy

Multiple Select

Which of the following are components of the treatment for club foot?

• Serial casting

• Gradual repositioning

• Lengthening of tendons

• All of the above

Multiple Choice

What is the primary deformity seen in club foot (talipes equinovarus)?

• Deformity of the ankle and foot

• Deformity of the hand

• Deformity of the spine

• Deformity of the knee

Multiple Choice

Which of the following is a neural tube defect that can be detected prenatally and may occur with hydrocephalus?

• Muscular Dystrophy

• Cerebral Palsy

• Myelomeningocele Spina bifida

• Multiple Sclerosis

Multiple Choice

Which neuromuscular disorder is associated with muscle weakness, disability, and deformity of skeletal muscles, and is most commonly seen as Duchenne type?

• Cerebral Palsy

• Myelomeningocele Spina bifida

• Muscular Dystrophy

• Guillain-Barré Syndrome

Open Ended

Compare and contrast the management goals for myelomeningocele spina bifida and muscular dystrophy.

Multiple Select

Which of the following are expected findings in a child with muscular dystrophy?

• Muscle weakness

• Enlarged calves

• Complete immobilization develops

• Increased muscle tone

Open Ended

What are some key nursing care interventions for a child with muscular dystrophy?