A nurse in a clinic is teaching a group of parents about scoliosis screening.
Which of the following statements by a parent indicates an understanding of the teaching?
"Boys should be screened for scoliosis at a younger age than girls.”.
"Scoliosis is associated with some form of childhood trauma.”.
"Children who have scoliosis will often report back pain.”.
"During the screening, the child is asked to stand and bend forward at the waist with his arms hanging.”.
The Correct Answer is D
Choice A rationale
Boys are generally screened for scoliosis at a later age than girls due to different growth patterns and timelines in puberty. Girls typically go through growth spurts earlier, which can reveal scoliosis sooner.
Choice B rationale
Scoliosis is not associated with childhood trauma. It's primarily idiopathic, meaning its cause is unknown, though genetics and growth factors are considered.
Choice C rationale
Children with scoliosis often do not report back pain. The condition is usually detected through physical exams or screenings rather than symptoms like pain.
Choice D rationale
The Adam's forward bend test is a common method for screening scoliosis, which involves the child bending forward at the waist with arms hanging down. This position highlights any abnormal curvature of the spine.
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Correct Answer is D
Explanation
A. Elevated blood pressure is not an indication of dehydration; dehydration is more likely to cause a drop in blood pressure due to decreased blood volume.
B. Dehydration typically does not cause a low body temperature; instead, it can lead to an elevated temperature as the body conserves water.
C. Jugular vein distention is associated with fluid overload or heart failure, not dehydration.
D. Skin tenting, where the skin remains elevated after being pinched, is a classic sign of dehydration due to reduced skin elasticity.
Correct Answer is C
Explanation
Choice A rationale
Performing ROM exercises can cause stress on the infant's developing bones and muscles and is not the priority for spina bifida.
Choice B rationale
Feeding through an NG tube is not necessary unless the infant has feeding difficulties related to spina bifida.
Choice C rationale
Placing the infant in a prone position prevents pressure on the lesion, reducing the risk of injury and infection.
Choice D rationale
Covering the lesion with a dry cloth can cause the area to dry out and is not recommended; sterile, moist dressings are preferred.