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N307 Week 6 Caring for the child with a chronic condition, alterations in musculoskeletal function, alterations in skin integrity questions with correct answers$17.49
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N307 Week 6 Caring for the child with a chronic condition, alterations in musculoskeletal function, alterations in skin integrity questions with correct answers
N307 Week 6 Caring for the child with a chronic condition, alterations in musculoskeletal function, alterations in skin integrity questions with correct answers
N307 Week 6 Caring for the child with a chronic condition,
alterations in musculoskeletal function, alterations in skin
integrity questions with correct answers
chronic condition Correct Answer-an illness that lasts at least 3 months
Can be: genetic, inheritable, congenital defect or damage during fetal
development
Can be caused by: Insult or injury associated with birth
Acquired conditions through injury or acute medical condition
Limitations with chronic conditions Correct Answer-Disfigurement
Dependency on medication or diet
Dependency on medical technology to function
Need for medical care and services beyond needs of a healthy child
Will need ongoing treatments at home or at school
Role of RN for child with chronic conditions Correct Answer-Health
supervision through span of childhood
Multidisciplinary collaboration
Partners in care with parents for home management
Community referrals
Planning educational services
Promoting well-being of child and family
Promotion of G/D of siblings
,Discharge planning and home care for chronic conditions Correct
Answer-Provide contact information, community resources
Decrease/alleviate fears and anxieties
Support groups
Social services, financial planning, time management, ongoing
assistance PRN
In home care coordination
Home care for chronic conditions Correct Answer-Extensive training,
education, preparation for family/caregivers
Risk for caregiver burden - offer respite care
Emergency preparedness (Battery packs, feeds, back-up technologies)
Metatarsus adductus Correct Answer-Most common foot deformity
Inward turning of forefoot, "in-toeing", "pigeon-toed"
Equal in males and females; common in multiples
Seen in CP, more likely caused from intrauterine positioning
Metatarsus adductus treatment Correct Answer-Exercising if foot is
flexible (during diaper changes); may resolve over time, otherwise
casting necessary
Club foot Correct Answer-Foot twisted out of normal position
More often in boys than girls; usually bilateral
Etiology unknown; intrauterine positioning? Vascular issues? Genetics?
, Three areas of deformity: midfoot down, hindfoot inward, forefront
toward heel and upward
Lower leg atrophies, lengths normal
Dx by visual inspection
Club foot treatment Correct Answer-Serial casting - then splinting;
otherwise surgery at 3-12 months with pins repositioning foot
May need braces or corrective shoes to maintain position
Developmental Dysplasia of the Hip (DDH) Correct Answer-Affects left
hip more often
Limited adduction of hip, asymmetry of gluteal and thigh folds,
telescoping of thigh
Significant limp
Diagnosed by looking at gluteal folds and their symmetry. Confirmed
with ultrasound
DDH treatment Correct Answer-60-80% resolve by 2 months
Under 3 months Pavlik Harness
Bryant's traction
Surgery at 6 months with spica cast, or 18 months with casting and
bracing
Pavlik Harness Correct Answer-Put on for 12 weeks
Do neurovascular checks
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