Nokea
What factor(s) may trigger abuse in a parent?
- A. Being abused as a child
- B. High self-esteem
- C. Substance abuse
- D. Overwhelming responsibility
- E. Knowledge deficit relative to child care
Correct Answer: A,C,D,E
Rationale: Being abused as a child, substance abuse, overwhelming responsibility, and lack of child care knowledge are triggers for parental abuse; high self-esteem is not.
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How long does it take for the toe to regain color if adequate perfusion is assessed?
- A. 3 seconds
- B. 4 seconds
- C. 5 seconds
- D. 6 seconds
Correct Answer: A
Rationale: Capillary refill in 3 seconds or less indicates adequate perfusion in a child in Bryant's traction.
How does the pediatric skeletal system differ from that of the adult?
- A. Lower mineral content
- B. More ossification
- C. Open epiphyses
- D. Less porosity
- E. Greater strength
Correct Answer: A,C,E
Rationale: The pediatric skeletal system has lower mineral content, open epiphyses, and greater strength, with greater porosity, not less.
What does the nurse explain as the cause of this spinal curvature defect?
- A. Juvenile rheumatoid arthritis
- B. Poor posture
- C. Heredity
- D. Myelomeningocele
Correct Answer: B
Rationale: Functional scoliosis is typically caused by poor posture and is not a structural spinal disease.
What type of fracture would be the most likely to alert the nurse to the possibility of physical abuse?
- A. Stress fracture
- B. Compound fracture
- C. Spiral fracture
- D. Greenstick fracture
Correct Answer: C
Rationale: Spiral fractures, caused by twisting motions, may suggest abuse if the injury history does not match the findings.
Which intervention would be helpful in relieving morning discomfort associated with juvenile rheumatoid arthritis?
- A. Wearing splints at night to prevent extension contractures
- B. Applying moist heat packs upon awakening
- C. Taking a warm tub bath the evening before
- D. Sleeping with two pillows under the head
Correct Answer: B
Rationale: Moist heat packs upon awakening reduce morning stiffness associated with juvenile rheumatoid arthritis.