A school-aged child wishes to learn embroidery from her ...

[NClaborn]

A school-aged child wishes to learn embroidery from her grandmother, but the grandmother reports that the child can only concentrate on the projects for a short time and seems frustrated.
 
  What action by the nurse is the most appropriate?
  A.
  Advise that the child needs more physical activity.
  B.
  Explain that the child is too young for this project.
  C.
  Suggest that the child have a routine vision exam.
  D.
  Teach behavior modification to the grandmother.

Question 2

A neonate receives a diagnosis of hydrocephalus. The pediatric nurse assesses for congenital anomalies related to this condition. Which condition is inconsistent with the nurse's knowledge of hydrocephalus?
 
  A.
  Aqueductal stenosis
  B.
  Chiari I and II malformations
  C.
  Dandy-Walker malformation
  D.
  Folic acid deficiency

[jesse.fleming]

Answer to Question 1

ANS: C
The most common refractive disorder in children is hyperopia (farsightedness). Symptoms include reports of objects being unclear at close range and clearer at a distance. Younger children may have trouble focusing on a project that requires close vision work. The nurse should suggest that the child have a routine eye examination. The other options may or may not be beneficial, but do not address the potential visual problem.

Answer to Question 2

ANS: D
Hydrocephalus develops when an impedance to cerebrospinal fluid (CSF) flow or absorption is present. It rarely occurs as a result of the overproduction of CSF. Congenital anomalies, including Chiari I and II malformations, Dandy-Walker malformation, and aqueductal stenosis, are the most common causes of hydrocephalus during the neonatal and early infancy periods. Acquired hydrocephalus occurs after birth and in infancy, usually resulting from intraventricular hemorrhage due to prematurity. Folic acid deficiency is related to neural tube deficits.