Pediatric Scoliosis Management Quiz
Test your knowledge of scoliosis screening, treatment, and nursing care in pediatric patients.
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Quiz Questions & Answers
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Question 1: During the Adam's Forward Bend Test, what positive finding indicates vertebral rotation?
Uneven hip height
Shoulder asymmetry
Rib hump
Scapular winging
Question 2: What is the primary goal of bracing in scoliosis treatment?
To cure the spinal curve
To prevent curve progression
To strengthen back muscles
To correct posture permanently
Question 3: A school nurse measures a student's trunk rotation with a scoliometer. At what degree measurement should the nurse make a referral?
Greater than 2-3 degrees
Greater than 5-7 degrees
Greater than 10-12 degrees
Greater than 15-20 degrees
Question 4: Which nursing intervention is MOST important in the immediate post-operative period after spinal fusion?
Encouraging deep breathing exercises
Neurovascular checks every 1-2 hours
Pain assessment
Bowel sound assessment
Question 5: A teenager with a Boston brace reports skin irritation. What is the BEST nursing intervention?
Apply powder under the brace
Use moisturizing lotion
Ensure wearing a clean cotton t-shirt
Apply alcohol directly to the skin
Question 6: When log rolling a post-operative spinal fusion patient, what is the minimum number of staff members needed?
1 staff member
2-3 staff members
4 staff members
5 staff members
Question 7: What is the recommended daily wearing time for a scoliosis brace?
8-12 hours
12-16 hours
16-23 hours
24 hours
Question 8: Which finding requires immediate notification of the physician in a post-spinal fusion patient?
Mild pain at surgical site
Decreased bowel sounds
Numbness and tingling in toes
Mild nausea
Question 9: What is the typical age range for scoliosis screening in girls?
8-10 years
10-12 years
13-15 years
15-17 years
Question 10: At what degree of curvature is surgical intervention typically considered?
Greater than 25 degrees
Greater than 35 degrees
Greater than 45 degrees
Greater than 55 degrees
Question 11: What is a common gastrointestinal complication following spinal fusion surgery?
Paralytic ileus
Gastric ulcers
Chronic diarrhea
Intestinal bleeding
Question 12: Which psychosocial intervention is most appropriate for a teenager struggling with brace compliance?
Strict disciplinary measures
Connecting with other braced teens
Reducing wearing time
Switching to nighttime bracing only
Question 13: What should be assessed during standing posture evaluation for scoliosis?
Only shoulder alignment
Only hip alignment
Shoulder height, scapular prominence, and hip height
Only arm length
Question 14: How should a post-operative spinal fusion patient be positioned when transitioning from lying to sitting?
Raise head of bed while lying flat
Log roll to side, then push up to sitting
Sit straight up from lying position
Use abdominal muscles to sit up