The nurse is examining a 2-month-old infant and notices asymmetry ...

[Charlie]

The nurse is examining a 2-month-old infant and notices asymmetry of the infant's gluteal folds. The nurse should assess for other signs of what disorder?
 
  a. Fractured clavicle
  b. Down syndrome
  c. Spina bifida
  d. Hip dislocation

Question 2

The nurse is examining a 6-month-old infant and places the infant's feet flat on the table and flexes his knees up. The nurse notes that the right knee is significantly lower than the left. Which of these statements is true of this finding?
 
  a. This finding is a positive Allis sign and suggests hip dislocation.
  b. The infant probably has a dislocated patella on the right knee.
  c. This finding is a negative Allis sign and normal for an infant of this age.
  d. The infant should return to the clinic in 2 weeks to see if his condition has changed.

[pikon]

Answer to Question 1

ANS: D
Unequal gluteal folds may accompany hip dislocation after 2 to 3 months of age, but some asymmetry may occur in healthy children. Further assessment is needed. The other responses are not correct.

Answer to Question 2

ANS: A
Finding one knee significantly lower than the other is a positive Allis sign and suggests hip dislocation. Normally, the tops of the knees are at the same elevation. The other statements are not correct.

[Charlie]

TYSM

[bitingbit]

Excellent