Mobility

Question 1

back brace for scoliosis

Answer 1

-milwaukee
-boston brace
-low adherence

Question 2

Pavlik Harness

Answer 2

-under 6 mo
keep shirt and socks on
-change diaper in harness
-do not adjust
-check skin folds (knees and diaper)
-sponge bath
-breast feeding positioning
-8-12 wks for 24 hrs/day
-sleep on back

Question 3

orthotic device

Answer 3

-hand/wrist or AFO
-prevents contractures
-relax them to put into brace

Question 4

Hip Dysplasia-sx

Answer 4

-uneven folds in glute and thigh
-barlow and ortolani maneuver (click in hip)
-uneven leg length
-waddle when walking (Trendelenburg gait)

Question 5

Hip Dysplasia-RF

Answer 5

-Female
-oligohydramnios
-breech
-large birth wt
-family hx

Question 6

Hip Dysplasia-tx

Answer 6

-pavlik under 6 mo
-closed reduction with hip spica
-open reduction

Question 7

Hip Dysplasia -complications

Answer 7

-osteoarthrirtis
-head necrosis indicating femoral head replacment

Question 8

Scoliosis-patho

Answer 8

curvature of the lateral spine

Question 9

Scoliosis-<25 degrees

Answer 9

-PT back and core strength

Question 10

Scoliosis 25-45 degrees

Answer 10

brace (not corrective but prevents further curvature)

Question 11

Scoliosis 45 degrees

Answer 11

surgery

Question 12

Scoliosis risk factors

Answer 12

-genetic
-growth abnormalities
-CNS disorder
-Female
-family hx

Question 13

Spastic Cerebral Palsy-patho

Answer 13

neuromuscular disorder-nonprogressive

Question 14

Spastic Cerebral Palsy-risk factors in utero

Answer 14

-teratogen exposure
-placental complications
-cerebral hemorrhage
-chorioamnionitis
-preclampsia
-prematurity
-low birth wt
-etoh/tobacco
-multiple births

Question 15

Spastic Cerebral Palsy-risk factors out of utero

Answer 15

-head trauma/abuse
-seizures
-toxins
-viral/bacterial infections (meningitis)
-intraventricular hemorrhage
-asphyxia
kernicterus (brain damage from hyperbilirubinemia)

Question 16

Spastic Cerebral Palsy-nursing assessment

Answer 16

-poor coordination
-chewing/aspiration risk
-neuro assessment for seizure risk
-nutrition (weight*)
-hearing /vision

Question 17

Spastic Cerebral Palsy-s/sx

Answer 17

-hypertonicity
-permanent contractures
-poor controlled posture
-exaggerated deep tendon reflexes
-continuation of primitive reflexes

Question 18

Spastic Cerebral Palsy-nutrition

Answer 18

weight
-soft pureed special diet
-aspiration risk

Question 19

Spastic Cerebral Palsy management

Answer 19

-PT/OT
-ST
-baclofen pump

Question 20

Baclofen pump

Answer 20

-check incision for redness drainage and swelling
-temp >101.5
-persistent incision pain
-avoid tub baths x 2 wks
- can’t sleep on stomach x 4 wks
-discorage twisting at waist or stretching incision
-carry emergency cards at all times