NURS 4010 COMPREHENSIVE TEST BANK EXAM 1
UPDATED QUESTIONS AND ACCURATE SOLUTIONS
VERIFIED 100% GUARANTEED SUCCESS ALREADY
GRADED A+
Identify the Components of a health history
demographics
chief complaint/history of present illness
past health history
family history
review of systems (gr...
NURS 4010 COMPREHENSIVE TEST BANK EXAM 1
UPDATED QUESTIONS AND ACCURATE SOLUTIONS
VERIFIED 100% GUARANTEED SUCCESS ALREADY
GRADED A+ 2024-2025
Identify the Components of a health history
demographics
chief complaint/history of present illness
past health history
family history
review of systems (growth and development)
developmental history (gross and fine motor skills)
functional history (daily routine, safety items, well-child checks)
family composition
Describe psychological manifestations of pain in children
knitted brows, squinted eyes, closed tight
crying
jerky, flailing movement
stiff posture
distressed, anxious, irritable, lethargic
restlessness, agitation, hyperalert
sleep disturbances
the QUESTT approach is
question the child and caregivers
use a reliable and valid pain scale
evaluate child’s behavior/physiologic changes to establish baseline
,secure caregivers involvement
take cause of pain into account
take action
State the Developmental considerations for pain: toddlers
can’t give description of pain, limited vocab
the Developmental considerations for pain is : preschool
may be quiet, withdrawn, may think pain is punishment, assumes nurse
knows they are in pain
The Developmental considerations for pain is : school age
able to communicate type, location, and severity but may try to be
brave for caregivers, may think treated pain may hurt more
Describe myelomeningocele
most severe form of neural tube defects
neural tube fails to close, resulting in external sac like protrusion on the
spine that encases meninges, spinal fluid, and nerves
myelomeningocele place patients at a higher risk for what?
meningitis, hypoxia, and hemorrhage
Describe sensory and motor function in myelomeningocele
spinal cord ends at point of defect, resulting in absent motor and
sensory function beyond that point
Describe therapeutic management of myelomeningocele
surgical closure will be performed as soon as possible after birth
early surgical intervention helps prevent infection and minimize further
loss of function
,state and describe the physical exam of a patient with
myelomeningocele
visible external sac
reflexes
movement
neuro
skeletal abnormalities
general appearence
Name the priority nursing management for myelomeningocele?
prevent trauma to the sac
cerebral palsy is
a range of nonspecific clinical symptoms characterized by abnormal
motor patterns and postures
cerebral palsy is caused by?
nonprogressive, abnormal brain function
many times no specific cause can be identified
identify the most common movement disorder of childhood?
Cerebral palsy
Describe the symptoms of cerebral palsy
large variation in symptoms and disability
Describe patho behind cerebral palsy
, abnormal development or damage in the motor areas of the brain,
results in neurologic lesion
what is the onset of cerebral palsy
lifelong disease, onset in early childhood
Describe spastic cerebral palsy
hypertonicity, permanent contractures
Describe dyskinetic cerebral palsy
abnormal involuntary movements
what is ataxic cerebral palsy
affects balance and depth perception
what is mixed cerebral palsy
mix of all types
state the goal for therapeutic management of a patient with cerebral
palsy?
Assist the child to gain optimal development and function within the
limits of the disease
therapeutic management for cerebral palsy focused on what?
promoting mobility
Describe a health history including a patient with cerebral palsy
gestational and perinatal events
muscle weakness or rigidity
delayed developmental milestones
Describe a physical exam should include for a patient with cerebral
palsy
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