A nurse is caring for four pediatric clients in the hospital. ...

[Jkov05]

A nurse is caring for four pediatric clients in the hospital. Which client should the nurse refer for play therapy?
 
  1. An adolescent with asthma
  2. A preschool-age child with a fractured femur
  3. A school-age child having an appendectomy
  4. An infant with sepsis

Question 2

The nurse educator is describing the pediatric differences associated with the anatomy and physiology of the neurologic system to a group of nursing students.
 
  Which statements made by the class indicate appropriate understanding of this topic after the teaching session?
  1. The bones of the cranium are connected by connective tissue to allow for brain growth.
 
  2. The spine of infants is excessively mobile due to immature neck muscles and incompletely developed vertebral bodies.
  3. Maturation of the nerves continues until age 10.
  4. Myelination is complete at birth,
  5. Myelination proceeds in a cephalocaudal direction.

[frankwu0507]

Answer to Question 1

Correct Answer: 2
Rationale: Play therapy is often used with preschool and school-age children who are experiencing anxiety, stress, and other specific nonpsychotic mental disorders. In this case, the child who experiences a condition that requires longer hospitalization and recovery, such as a fracture of the femur, should be referred for play therapy. The adolescent with asthma, the school-age child having an appendectomy, and the infant with sepsis do not have as high a need for play therapy as the preschool child with a broken bone.

Answer to Question 2

Correct Answer: 1,2,5

Rationale: There are several pediatric differences associated with the anatomy and physiology of the neurological system and include: the bones of the cranium are connected by connective tissue to allow for brain growth; the spine of infants is excessively mobile due to immature neck muscles and incompletely developed vertebral bodies; and myelination proceeds in a cephalocaudal direction. Maturation of the nerves continues until the age of 4, not 10. Myelination is incomplete at birth.