Nokea
The nurse explains to the parents of a child with developmental hip dysplasia that the application of a Pavlik harness is necessary. In what position will the harness hold the child's femurs?
- A. Abduction
- B. Adduction
- C. Flexion
- D. Extension
Correct Answer: A
Rationale: The use of the Pavlik harness maintains the hips in abduction for 4 to 6 months.
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Which is a priority nursing intervention for the cognitively impaired child?
- A. The family will provide good nutrition.
- B. The family will provide loving interactions.
- C. Stimulation will improve.
- D. There will be contact with peers.
Correct Answer: B
Rationale: Nursing interventions focus on promoting optimal development and loving interactions with family.
When assessing the laboratory values of a child with nephrosis, the nurse anticipates which results?
- A. High levels of protein in the urine
- B. High serum lipid levels
- C. Low serum protein levels
- D. Low hemoglobin
- E. High white blood cell count
Correct Answer: A,B,C
Rationale: A patient with nephrotic syndrome has high levels of serum lipids, low serum protein, and albumin in urine that is dark and frothy with a high specific gravity. The hemoglobin and WBC are usually normal.
A teenage girl has been placed in a brace for the treatment of scoliosis, the most common skeletal deformity of adolescence. The family asks what they can do to be more supportive. What suggestion of the nurse is the most appropriate?
- A. Enrolling her in a health club
- B. Taking her to the mall in a wheelchair
- C. Purchasing clothes to disguise the cast
- D. Spending a majority of their time with her
Correct Answer: C
Rationale: The adolescent is trying to fit in with peers and has concerns about body image.
The nurse explains that which diagnostic studies are needed for the diagnosis of cognitive impairment?
- A. Denver Developmental Screening Test
- B. Stanford-Binet Intelligence Scale
- C. Wechsler Intelligence Scale
- D. Miller's Analogies
- E. Strong Personality Assessment
Correct Answer: A,B,C
Rationale: The Denver, Stanford-Binet, and Wechsler are standard intelligence tests that aid in the diagnosis of a cognitively impaired child.
Which statement correctly explains the etiology of Down syndrome?
- A. There is an extra chromosome on the 21st pair.
- B. There is a missing chromosome on the 21st pair.
- C. There are two pairs of the 21st chromosome.
- D. The chromosome's 21st pair is missing.
Correct Answer: A
Rationale: Down syndrome is attributed to an extra chromosome on the 21st pair.