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A boy is born with osteogenesis imperfecta. The parents are concerned that if they have another child, they will have the same disease. Which is an appropriate teaching by the nurse?

• "Your next child will have a 50% chance of having it, if you are both carriers"

• "this is an x-linked disease, so only males can get it."

• "if you are both carriers, there would be a 25% chance of the next child having this disease"

• "this disease is not genetically linked, so your next child is not at risk"

A 3 year old is 2 weeks post-op from having a VP shunt placed. The child starts vomiting and is having slight changes in LOC. What should the nurse advise the mom to do?

• Have them drink some water and take a nap

• Administer prophylactic antibiotics

• Take their temperature to see if they have a fever

• Go to the ER

A nursing student is doing some teaching about Reye Syndrome. Which statement would require the nurse to intervene?

• "Getting a flu shot could help prevent this condition"

• "Aspirin can be used if the child has a fever"

• "If this complication occurs, you may notice some aggressiveness"

• "This condition can lead to liver dysfunction if it is not properly treated"

The nurse is caring for a patient with cerebral palsy. Which is most important for the nurse to remember when providing care?

• Meet them at their developmental level.

• Speech therapy will be needed to assess swallowing.

• Treat them according to their age.

• Place them in a low stimulus / dark room.

A boy is brought to the physician's office because the mom has noticed him standing up abnormally. She tells the doctor that her son "uses his hands to walk up his legs" to stand up from the ground. What is the suspected condition?

• Legg Calve Perthes

• Osteogenesis Imperfecta

• Duchenne Muscular Dystrophy

• Developmental Dysplasia of the Hip

A child is referred to the neurologist for seizure like activity. The parents tell the nurse that their child randomly drops to the floor and has no idea what happened. What type of seizure is this child most likely experiencing?

• Grand-Mal

• Absence

• Tonic-Clonic

• Atonic

A child with spina bifida is being prepped for surgery. The nurse is setting up the sterile field for surgery. Which item would cause possible concern for this type of patient?

• Iodine cleaning solution

• Latex sterile gloves

• Lactated Ringers for fluids

• Chloraprep

A 12-year-old female client has been diagnosed with scoliosis with a curvature of 30 degrees. What type of treatment would the nurse anticipate being started on this client?

• Traction

• Bracing

• Surgery

• Exercise

The nurse is doing client teaching with a child who has been placed in a brace to treat scoliosis. Which statement made by the child indicates an understanding of the treatment?

• "Wearing this brace only during the night will not be so embarrassing."

• "I am so glad I can take this brace off for the school dance."

• "When I start feeling tired, I can just take my brace off for a few minutes."

• "At least when I take a shower I have a few minutes out of this brace."

A 4 year old child who comes from a single parent home presents to the doctor's office with a cold, but the nurse notices multiple bruises. The mother has a history of drug abuse. What are the risk factors for abuse in THIS child's situation? SATA

• Socioeconomic status

• The child was unwanted

• Drug/alcohol abuse

• Mom was abused as a child