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NURG 604 Module 12 Exam Study Guide
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NURG 604 Module 12 ExamStudy Guide
What are the most common signs and symptoms of Juvenile Idiopathic Arthritis (JIA)? -
Answer see Table 33.14; "Juvenile Idiopathic Arthritis Subtypes and Clinical Joint
Characteristics")
page 550
What are common musculoskeletal and congenital problems? - Answer athletic injuries,
back pain. Foot injuries, knee disorders, shin splints, stress fx
What shape is the spine by late adolescence? - Answer S shape
What can be used to measure bone age? - Answer radiographs of the left hand and wrist
The growth plate area is weaker than the remaining bone because..... - Answer it is less
calcified.
What is Osteogenesis Imperfecta? - Answer Genetic disorder characterized by
decreased levels of collagen, the major protein of the body's connective tissue
What are some intrauterine causes of compression deformations? - Answer Intrinsic
causes = neuromuscular disorders and maternal oligohydramnios
- Extrinsic causes = fetal crowding
A patient presents in your office with a fracture to the leg. There really is not a good
explanation as to why this occurred. What should you be suspicious of - Answer abuse
What is the reason that children's bones heal more quickly than adults? - Answer They
have more periosteum than adults
Know about the different types of fractures: growth plate and shaft. - Answer
GROWTH PLATE FX - Answer - can cause permanent deformities based of where the
fracture is located.
-outcomes depend on the pts age,fx location and type, blood supply to the physis, and
treatment.
- salter-harris classification
SHAFT - Answer - most common:
Oblique - tibial fx - occurs usually from tripping, stepping on a toy, nor falling from a
, moderate height. Usually will notice a limp
Torus or greenstick - forearm; from a fall on an outstretched hand.
When is a mature gait typically established? - Answer By age 3. By 7 will resemble an
adult gait.
Galeazzi - Answer - flexing the hips and knees while the child lies supine. Placing the
soles of the feet on the table near the buttocks. And then looking at the knee's height
equality.
- Assesses for conditions that can cause leg length discrepancies
Barlow - Answer - unclothed pT in supine positioned with knees flexed. The hip is flexed,
and the thigh is brought into an adduction position while applying pressure downward.
- With hip instability, the femoral head slips out of the acetabulum, this is a positive
Barlow.
- Assesses for hip dislocation in the first month
Ortolani - Answer place in supine position with both knees flexed. The provider's thumb
is placed near the lesser trochanter and the pad of the second finger is placed on the
bony prominence of the greater trochanter. The leg is flexed at the hip and then
abducted while pushing with fingers located over the trochanter posteriorly. The
femoral head is lifted anteriorly into the acetabulum
- Used to gently reduce a dislocated hip
What can the NP teach parents to possibly prevent hip dysplasia in the newborn? -
Answer Do not swaddle hips too tightly - let legs fall apart in the frog leg position
What is the Klisic test? - Answer - provides and observational sign of hip placement
- PCP placed tip of third finger of one hand over the greater trochanter and the index
finger of the same hand on the anterosuperior iliac spine. An imaginary line is drawn
between these fingers. Normally the line points to the umbilicus. If dislocated the line
points halfway between the umbilicus and the pubis.
Review the Trendelenburg sign. - Answer - Used to identify conditions that cause
weakness in the hip abduction.
- The child stands and raises one leg. If the pelvis drops on the side of the raised leg, it is
positive.
- Pos means hip abductor muscles are weak.
What is the test called used to test for scoliosis? - Answer Adams test
What education should be provided to parents when their child has a cast? - Answer -
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