The nurse is assessing an adolescent child with the diagnosis of hemophilia. In which part of the body would the nurse expect bleeding to occur?

Joints.

Intestines

Brain

Pericardium

Answer and Explanation

The Correct Answer is A

Hemophilia is a genetic bleeding disorder in which the blood does not clot properly. It primarily affects the coagulation factors responsible for clot formation. In individuals with hemophilia, bleeding tends to occur most commonly in the joints, particularly in the large weight-bearing joints like the knees, elbows, and ankles. This is known as hemarthrosis and can lead to significant pain and joint damage.

While bleeding in other areas of the body can occur in hemophilia, such as the muscles or soft tissues, joint bleeding is one of the hallmark features of the condition.

The other options, B (intestines), C (brain), and D (pericardium), are less commonly associated with bleeding in hemophilia. Although bleeding can occur in various locations, joint bleeding is the most characteristic and commonly seen manifestation in individuals with hemophilia.

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Correct Answer is C

Explanation

A. Lordosis: Lordosis is an excessive inward curvature of the spine, typically seen in the lower back. It is often referred to as "swayback."

B. Torticollis: Torticollis is a condition where the head is tilted to one side and may be rotated to the opposite side. It typically affects the neck muscles and is not related to lateral curvature of the spine.

C. Scoliosis.

Scoliosis is a lateral curvature of the spine. It is characterized by an abnormal sideways curvature of the spine, which can lead to an "S" or "C" shape of the spine. Scoliosis can occur during adolescence, and routine physical examinations may reveal this condition.

D. Kyphosis: Kyphosis is an excessive outward curvature of the spine, which can result in a rounded or hunched back, often seen in the upper back or thoracic spine.

In summary, the lateral curvature of the spine observed in this adolescent should be documented as scoliosis.

A. A fontanelle that bulges with crying B. Increased respiratory rate C. A high-pitched cry D. Tachycardia

Correct Answer is A

Explanation

A. A fontanelle that bulges with crying.

Myelomeningocele is a congenital neural tube defect that involves the spinal cord. It is associated with an increased risk of hydrocephalus, which can lead to increased intracranial pressure (ICP). The fontanelle (soft spot) on an infant's head can provide insight into ICP. When an infant with myelomeningocele has an increase in intracranial pressure, the fontanelle may bulge, especially when the infant cries. This is due to the buildup of cerebrospinal fluid within the skull.

B. Increased respiratory rate: While increased intracranial pressure can affect various body systems, an increased respiratory rate is not a specific sign of ICP associated with myelomeningocele.

C. A high-pitched cry: A high-pitched cry is not typically associated with increased intracranial pressure in the context of myelomeningocele. Signs of ICP in infants may include irritability, lethargy, vomiting, and changes in head circumference.

D. Tachycardia: Tachycardia can be a response to stress or discomfort in an infant, but it is not a specific indicator of increased intracranial pressure related to myelomeningocele.

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The nurse is assessing an adolescent child with the diagnosis of hemophilia. In which part of the body would the nurse expect bleeding to occur?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with a routine physical examination of an adolescent. The provider observes a lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders?

Correct Answer is C

Explanation

The nurse reports to the healthcare provider signs of increased intracranial pressure in an infant with myelomeningocele who has which finding?

Correct Answer is A

Explanation

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