UP CHO - 10 September 2021
Child Health Nursing (Pediatrics)
Hard
The most frequent incomplete fracture in children, in which the bone is twisted, is called ______ .
Appeared in: UP CHO - 10 September 2021
Explanation
- A greenstick fracture is an incomplete fracture where the bone does not break all the way through.
- It is the most common type of fracture in children, particularly those under 10, because their bones are softer and more pliable than adult bones.
- In this fracture pattern, the bone cracks on one side (the tension side) and only bends on the other side (the compression side).
- The question's key descriptor is 'most frequent incomplete fracture in children,' which uniquely identifies a greenstick fracture, even though the mechanism mentioned (twisting) is typically associated with spiral fractures.
Why Other Options Were Wrong
- Option A: A spiral fracture is typically a complete fracture, not incomplete. It breaks all the way through the bone.
- Option B: An oblique fracture is a complete fracture where the bone breaks diagonally. It is not an incomplete fracture.
- Option D: A transverse fracture is a complete fracture that runs straight across the bone. It is not an incomplete fracture.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Types of bone fractures in children as background academic context rather than a clinical decision trigger.
- Recognizing different fracture patterns helps nurses anticipate the mechanism of injury, potential complications, and the type of treatment required (e.g., simple casting vs. reduction).
- A critical nursing responsibility is a thorough assessment. If a non-ambulatory child presents with a spiral fracture, the nurse must be alert to the possibility of non-accidental injury (child abuse) and follow facility protocols for reporting.
- Patient education is key. Nurses often explain the nature of the fracture and cast care to parents and children, helping to ensure compliance and proper healing.
How to Approach the Question
- First, identify the key descriptive phrases in the question: 'most frequent,' 'incomplete fracture,' 'in children,' and 'twisted.'
- Recognize that the phrase 'most frequent incomplete fracture in children' is a classic definition of a greenstick fracture.
- Note the conflicting information: the 'twisted' mechanism usually causes a spiral fracture, but spiral fractures are typically complete, not incomplete.
- When faced with a flawed question, prioritize the most unique and defining characteristic. The combination of 'incomplete' and 'common in children' is a much stronger identifier for a greenstick fracture than the mechanism mentioned.
- Evaluate the options based on this primary characteristic. Spiral, oblique, and transverse fractures are all types of complete fractures.
- Conclude that greenstick fracture is the only incomplete fracture listed, making it the best fit despite the inaccurate description of the mechanism.
Concept Tested & Keywords
- Concept Tested: Types of bone fractures in children
- Stem keywords: incomplete fracture, children, twisted
- Lead-in keywords: is called
- Negative lead-in flag: false
Question ID
QGN2zFy_sQ2HP-25LZixIy
Reference Book
E6 Nelson Textbook of Pediatrics(2024) — Volume 2 pp. 2086-2088, 2087-2089, 2088-2090
Practise the full UP CHO - 10 September 2021
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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