NURN 409 Final Exam REview

The nurse is teaching the mother of a 5-year-old boy with myelomeningocele who has developed a sensitivity to latex. Which response from his mother indicates a need for further teaching?

• "He needs to get a medical alert identification."

• "I will need to discuss this with his caregivers."

• "I can use any brand of gloves that are on sale."

• "He must avoid all contact with latex."

The nurse is caring for a 10-year-old with Duchenne muscular dystrophy. As part of the plan of care, the nurse focuses on maintaining his cardiopulmonary function. Which intervention would the nurse implement to best promote maximum chest expansion?

• Deep-breathing exercises

• Upright positioning

• Coughing

• Chest percussion

The nurse is teaching a group of students about myelinization in a child. Which statement by the students indicates that the teaching was successful?

• Myelinization is completed by 4 years of age.

• The process occurs in a head-to-toe fashion.

• The speed of nerve impulses slows as myelinization occurs.

• Nerve impulses become less specific in focus with myelinization.

When developing the plan of care for a child with cerebral palsy, which treatment would the nurse expect as least likely?

• Skeletal traction

• Physical therapy

• Orthotics

• Occupational therapy

A nurse is preparing a program for a group of parents about injury prevention. What would the nurse include as an important contributing factor for cervical spine injury in a child?

• Exposure to teratogens while in utero

• Immaturity of the central nervous system

• Increased mobility of the spine

• Incomplete myelinization

   

What information would the nurse include in the preoperative plan of care for an infant with myelomeningocele?

• Positioning supine with a pillow under the buttocks

• Covering the sac with saline-soaked nonadhesive gauze

• Wrapping the infant snugly in a blanket

• Applying a diaper to prevent fecal soiling of the sac

   

An 8-year-old girl was diagnosed with a closed fracture of the radius at approximately 2 p.m. The fracture was reduced in the emergency department, and her arm was placed in a cast. At 11 p.m., her mother brings her back to the emergency department due to unrelenting pain that has not been relieved by the prescribed narcotics. Which action would be the priority?

• Notifying the doctor immediately

• Applying ice

• Elevating the arm

• Giving additional pain medication as ordered

Which assessment tool is commonly used for diagnosing autism spectrum disorder in children?

• Pediatric Symptom Checklist

• Autism Diagnostic Observation Schedule (ADOS)

• Denver Developmental Screening Test

• Sensory Profile

What is a common neurodevelopmental disorder characterized by difficulties with social interaction and communication, and by restricted and repetitive behavior?

• Cerebral Palsy

• Autism Spectrum Disorder

• Attention Deficit Hyperactivity Disorder (ADHD)

• Sensory Processing Disorder

How does early intervention benefit children with neurodevelopmental disorders?

• It can completely cure the disorder

• It helps in managing symptoms and improving outcomes

• It is only beneficial for children with sensory processing disorders

• It has no significant impact on the child's development