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Exam (elaborations)

Pediatric Musculoskeletal Practice Questions and answers verified to pass

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  • Module
  • Musculoskeletal
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  • Musculoskeletal

Pediatric Musculoskeletal Practice Questions and answers verified to pass Which is an accurate statement concerning a childs musculoskeletal system and how it may be different from adults? a. Growth occurs in children as a result of an increase in the number of muscle fibers. b. Infants are at gr...

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  • August 18, 2024
  • 13
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Musculoskeletal
  • Musculoskeletal
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Pediatric Musculoskeletal Practice
Questions
Which is an accurate statement concerning a childs musculoskeletal system
and how it may be different from adults?
a. Growth occurs in children as a result of an increase in the number of
muscle fibers.
b. Infants are at greater risk for fractures because their epiphyseal plates are
not fused.
c. Because soft tissues are resilient in children, dislocations and sprains are
less common than in adults.
d. Their bones have less blood flow. - correct answer ✔C. Because soft
tissues are resilient in children, dislocations and sprains are less common
than in adults. A childs growth occurs because of an increase in size rather
than an increase in the number of the muscle fibers. Fractures in children
younger than 1 year are unusual because a large amount of force is
necessary to fracture their bones. A childs bones have greater blood flow than
an adults bones.


When infants are seen for fractures, which nursing intervention is a priority?
a. No intervention is necessary. It is not uncommon for infants to fracture
bones.
b. Assess the familys safety practices. Fractures in infants usually result from
falls.
c. Assess for child abuse. Fractures in infants are often nonaccidental.
d. Assess for genetic factors. - correct answer ✔C
Fractures in infants warrant further investigation to rule out child abuse.
Fractures in children younger than 1 year are not common because of the
cartilaginous quality of the skeleton; a large amount of force is necessary to
fracture their bones. Infants should be cared for in a safe environment and

, should not be falling. Fractures in infancy are usually nonaccidental rather
than related to a genetic factor.


Which nursing assessment is appropriate for determining neurovascular
competency?
a.
Degree of motion and ability to position the extremity
b.
Length, diameter, and shape of the extremity
c.
Amount of swelling noted in the extremity and pain intensity
d.
Skin color, temperature, movement, sensation, and capillary refill of the
extremity - correct answer ✔D
A neurovascular evaluation includes assessing skin color and temperature,
ability to move the affected extremity, degree of sensation experienced, and
speed of capillary refill in the extremity. The degree of motion in the affected
extremity and the ability to position the extremity are incomplete assessments
of neurovascular competency. The length, diameter, and shape of the
extremity are not assessment criteria in a neurovascular evaluation. Although
the amount of swelling is an important factor in assessing an extremity, it is
not a criterion for a neurovascular assessment.


A mother whose 7-year-old child has been placed in a cast for a fractured
right arm reports he will not stop crying even after taking Tylenol with codeine.
He also will not straighten the fingers on his right arm. The nurse tells the
mother to do which?
a.
Take him to the emergency department.
b.

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