Name That Condition
This condition is characterized by the foot being positioned downward and inward and is present at birth.
What is clubfoot (talipes equinovarus)?
Name two common assessment findings associated with a pediatric fracture.
Pain/tenderness, swelling, decreased movement, deformity, ecchymosis, or guarding.
When caring for a child with a cast, the nurse's priority assessment is the child's __________ status.
What is neurovascular status?
This type of fracture is incomplete and commonly described as occurring when the bone bends and cracks rather than breaking completely.
What is a greenstick fracture?
A child with developmental dysplasia of the hip may be treated with this harness during early management.
What is a Pavlik harness?
A child has a positive Ortolani and Barlow maneuver, limited hip abduction, and unequal skin folds. What condition should the nurse suspect?
What is developmental dysplasia of the hip (DDH)?
When assessing a child with a possible developmental dysplasia of the hip, the nurse should look for this finding involving the movement of the hip.
What is limited hip abduction?
Name the 5 Ps the nurse monitors when assessing neurovascular status.
Pain, pallor, paresthesia, pulselessness, and paralysis.
A fracture that breaks through the skin is also called what?
What is an open/compound fracture?
A child with clubfoot may receive this treatment in which the foot is gradually repositioned using a series of casts.
What is serial casting?
A school age child presents with a limp, hip pain and stiffness, and limited range of motion. The nurse knows this condition involves avascular necrosis of which structure?
What is the femoral head?
A child is being evaluated for scoliosis. The nurse notices shoulder and scapular asymmetry, rib asymmetry, and lateral spinal curvature. What additional finding may be present?
What is hip/flank asymmetry or spinal rotation?
A child has a newly applied cast. Which nursing intervention is appropriate?
A. Ignore complaints of increasing pain
B. Monitor circulation, movement, and sensation
C. Encourage the child to place objects inside the cast
D. Keep the affected extremity in any position that is comfortable
B. Monitor circulation, movement, and sensation
What are the four components of RICE used for initial management of many soft tissue injuries?
Rest, Ice, Compression, and Elevation.
A child with Legg-Calvé-Perthes disease is initially placed on limited or no weight bearing. What is the overall treatment goal?
What is to keep the femoral head contained in the acetabulum? (claw)
A nurse is assessing a child with juvenile idiopathic arthritis (JIA). Which finding would the nurse expect?
A. Joint stiffness that is worse in the morning
B. Sudden loss of sensation in the affected extremity
C. Foot positioned downward and inward
D. Isolated lateral curvature of the spine
A. Joint stiffness that is worse in the morning
The nurse is assessing a child with a cast after a fracture. Which finding requires the most immediate attention?
A. Mild itching underneath the cast
B. Pain that is greater than expected and sensory changes
C. Limited activity while recovering
D. Mild swelling immediately after the injury
B. Pain that is greater than expected and sensory changes
A child with a fracture develops pain that is greater than expected and is not relieved as anticipated. The child also develops sensory and motor changes. What complication should the nurse suspect?
What is compartment syndrome?
The nurse is teaching a student nurse about traction. Which statement demonstrates correct understanding?
A. "Traction is primarily used to increase mobility."
B. "Traction can help maintain alignment and immobilize the affected area."
C. "Traction eliminates the need for neurovascular assessments."
D. "Weights should be removed when the child moves."
B. "Traction can help maintain alignment and immobilize the affected area."
The nurse is developing a plan of care for a child with scoliosis who is prescribed a brace. Which nursing intervention is most appropriate?
A. Focus only on physical alignment
B. Assess skin and reinforce brace compliance
C. Encourage the child to avoid all physical activity
D. Tell the child that emotional concerns are unrelated to treatment
B. Assess skin and reinforce brace compliance
A child has a chronic inflammatory joint condition. The nurse understands that the primary goals of treatment are to preserve function, prevent deformity, and relieve symptoms. Which condition is most consistent with these findings?
What is juvenile idiopathic arthritis (JIA)?
A child with a musculoskeletal infection has localized pain, swelling, warmth, redness, and pain with weight bearing.
WBCs: 45,000
Which condition should the nurse suspect?
What is osteomyelitis?
The nurse is caring for a child in traction. Which interventions should the nurse prioritize?
Select all that apply.
A. Monitor alignment
B. Assess neurovascular status
C. Monitor skin integrity
D. Check traction equipment and weights
E. Remove the weights whenever the child is uncomfortable
A, B, C, and D
The nurse is caring for a child with a cast. Which assessment findings would be concerning for impaired neurovascular status?
Select all that apply.
A. Pallor
B. Paresthesia
C. Increasing pain
D. Paralysis
E. Normal sensation
F. Pulselessness
A, B, C, D, and F
A child is hospitalized with osteomyelitis. Which interventions should the nurse anticipate?
Select all that apply.
A. Prolonged antibiotic therapy
B. Pain management
C. Immobilization/rest
D. Monitoring response to therapy
E. Nutrition support
F. Encouraging unrestricted weight bearing
A, B, C, D, and E