Nur 254 Exam 4 | Child Bearing and
Child Caring Families Exam 4| Latest
2024
Medication for congenital hypothyroidism: levothyroxine
- Correct Answer - life long med
take 3-4 weeks to work
take on empty stomach
1st thing in AM
check serum levels periodically
if missed dose take once you remember
Signs of Scoliosis
- Correct Answer - lateral curve of spine
10'-no treatment
25-45' brace
45' surgery
signs of Lordosis
- Correct Answer - S shape in lower back
," sticks butt out"
Signs of Kyphosis
- Correct Answer - upper back hump
Abnormalities of cast
- Correct Answer - hot spots= infection
unrelieved pain = compartment syndrome ( tell HCP right away)
Cast care: knowing when to intervene if dangerous action is
preformed - Correct Answer - if itchy : nothing in cast instead
use cool setting on blow dryer
use palm when touching plaster case avoid pressure pts
elevate limb for venous return
Keep cast dry and clean
intervention for fractures
- Correct Answer - 1. immbolize
2. Assess 6P's
, Spiral fracture = may be abuse = report
open fracture - assess for infection
crush fracture = assess for fat emboli
Teaching about Juvenile idiopathic arthritis
- Correct Answer - unknown cause
no cure
AM stiffness
recommend night time splint
isometric exercise ( yofa , stationary bike)
prevent contractures
Care of child w/ developmental hip dyslasia: Pavlik harness
- Correct Answer - use on non mobile patient)
DO NOT remove unless Dr. says for bath
wear 24/7
follow up every 2 weeks for adjustment
will wear 6-12 weeks
if harness doesn’t work spica cast
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