NSG PN 223 OB & PEDS FINAL EXAMS WITH COMPLETE SOLUTIONS QUESTIONS AND ANSWERS RATED A SOLUTIONS

NSG PN 223 OB & PEDS FINAL EXAMS WITH COMPLETE SOLUTIONS QUESTIONS AND ANSWERS RATED A SOLUTIONS

1. A child has a right femur fracture caused by a motor vehicle crash and is placed in skin traction
temporarily untilsurgery can be performed. During assessment, the nurse notes that the dorsalis pedis
pulse is absent on the right foot. Which action should the nurse take?
1. administer an analgesic
2. release the skin traction
3. apply ice to the extremity
4. notify the HCP
2. A child is placed in skeletal traction for treatment of a fractured femur. The nurse creates
a plan of care and should include which intervention?
1. ensure that all ropes are outside the pulleys
2. ensure that the weights are resting lightly on the floor
3. restrict diversional and play activities until the child is out of traction
4. check the HCP's prescriptions for the amount of weight to be applied
3. The nurse is providing instructionsto the parents of a child with scoliosisregarding the use of a brace.
Which statement by the parents indicates a need for further instruction?
1. "I will encourage my child to perform prescribed exercises."
2. "I will have my child wear soft fabric clothing under the brace."
3. "Ishould apply lotion under the brace to preventskin breakdown."
4. "Ishould avoid the use of powder because it will cake under the brace."
3. "Ishould apply lotion under the brace to preventskin breakdown."
4. Parents bring their 2-week-old infantto a clinic for treatment after a diagnosis of clubfoot made at
birth. Which statement by the parents indicates a need for further teaching regarding this disorder?
1.
"Treatment needsto be started assoon as possible."
2.
"Irealize my infant will require follow-up care until fully grown."
3.
"I need to bring my infant back to the clinic in 1 month for a new cast."

4. "I need to come to the clinic every week with my infant for the casting."

Clubfoot is a complex deformity of the ankle and foot that includes forefoot adduction, midfoot
supination, hindfoot varus, and ankle equinus; the defect may be unilateral or bilateral. Treatment for
clubfoot is started as soon as possible after birth. Serial manipulation and casting are performed at least
weekly. If sufficient correction is not achieved in 3 to 6 months, surgery usually is indicated. Because
clubfoot can recur, all children with clubfoot require long-term interval follow-up until they reach skeletal
maturity to ensure an optimal outcome.
5The nurse prepares a list of home care instructions for the parents of a child who has a plaster cast
applied to the left forearm. Which instructions should be included on the list? SATA
A. Use the fingertipsto lift the cast while it is drying
B. Keep small toys and sharp objects away from the cast
C. Use a paddle ruler or another padded object to scratch the skin under the cast if it itches
D. Place a heating pad on the lower end of the cast and over the fingers if the finders feel cool
E. Elevate the extremity on pillowsfor the first 24-48 hours after casting to preventswelling
F. Contact the HCP if the child complains of numbness or tingling in the extremity
6, A nurse is caring for a 10-month-old infant who is in a cast for developmental dysplasia of the hip
(DDH). Which of the following strategies would the nurse implement to promote the infant's growth and
development?
A. Tie colorful latex balloonsto the side of the crib.
B. Provide a small electronic toy.
C. Change the infant's diaper assoon assoiling occurs.
D. Allow infant to stand in the crib.
D. Allow infant to stand in the crib.
Rationale:
The infant should not be restricted from normal activities. The infant

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