-
How are young infants tested for DDH?
- Ortolani's Test (positive-click)
- Barlow Test (Unstable)
-
What is the most commonly broken bone in children?
- Clavicle
- forearm fracture also common
- Femoral, neck, and femur in older children
- Knee injuries in adolescents
-
What are some nursing considerations associated with congenital club foot casts?
- Closely monitor skin and circulation
- Change cast every 1-2 weeks
-
What are the 3 categories of congenital club foot?
- Positional (mild)- due to intrauteral crowding
- Syndromic (Tetralogic)- associated with other congenital anomalies (spina bifida)
- Congential (Idiopathic)
-
what are common causes of fractures?
- MVA
- Pedestrian-auto and bike-auto
- Sports
- Infants- birth trauma, MVA, abuse
-
Closed/Simple fracture?
Skin intact
-
Compound/Open fracture?
Bone protrudes through skin
-
Complicated fracture?
Bone fragments damage organs/tissues
-
Comminuted fractures?
bone fragments in surrounding tissue
-
Complete Fracture?
Fracture fragments are separated
-
Incomplete fracture.
- Fragments remain attached
- Fracture line: transverse, oblique, spiral
-
Bends Fracture.
bends 45 degrees or more without breaking
-
Buckle/Torus fracture.
Bulging projection due to compression
-
Greenstick Fracture.
- Incomplete fracture occurs when bend it too great
- Compressed side of bone bends and tension side of bone breaks
-
Transverse fracture line.
fracture of long axis of bone
-
Oblique fracture line.
Slanting but straight (diagonal)
-
Spiral fracture line.
Slanting and circular- twisting around the bone shaft
-
What are some complications of Fractures?
- Circulatory impairment
- Nerve compression syndromes
- compartment syndrome
- Volkmann contracture
- Epiphyseal damage
- Nonunion/Malunion
- Infection
- Kidney Stones
- Pulmonary Emboli
-
What should a nurse assess when suspecting vascular injuries due to Fractures?
- Pain & point of tenderness
- Pulse-distal to fracture site
- Pallor
- Paresthesia-distal to fracture site
- Paralysis-distal to fracture site
-
What is most important to promote healing with Fractures?
Adequate nutrition
-
What is the most important nursing consideration when dealing with osteogenic sarcoma?
Preoperative preparation
-
Describe the characteristics associated with Type 1 Osteogenesis Imperfecta (OI).
- most common
- variable fractures, little deformity, mild bone fragility, blue sclera, near normal stature, joint laxity
- Hearing loss at age 20-30 years old
-
What Disorder is associated with complaints of "ill fitting" clothes?
Scoliosis
-
A child being screened for Scoliosis is told that he/she has the disorder as evidence by what distinct finding on the Screening Exam?
If there is a rib hump on back and/or asymmetry seen
-
What position must a child stand when performing a Scoliosis Screening Test?
bent forward with back exposed
-
What is a TLSO brace and what is it used for?
- custom molded plastic jacket brace
- Scoliosis
-
What disorder is mostly seen in obese children?
(SFCE) Slipped Femoral Capital Epiphysis
-
What disorder can be caused by ANY organism?
Osteomyelitis
-
What is the diagnostic criteria for Juvenile Rheumatoid Arthritis?
- Age of onset younger than 16 years old
- Affected joints (one, few, polyarticular)
- Duration of arthritis more than 6 weeks
- Exclusion of other forms of arthritis
-
What disorder has the best results when treated before the age of 2 months?
Developmental Dysplasia of the Hip (DDH)
-
What are some S&S of DDH?
- shorter leg on affected side
- prominent greater trochanter
- Trendeleburg Sign (bears weight on affected side, normal side pelvis down)
- Lordosis & waddling gait (bilateral dislocation)
- Positive ortalani and barlow sign (click & unstable)
|
|
