A nurse is preparing to discharge an infant who has developmental ...

[MGLQZ]

A nurse is preparing to discharge an infant who has developmental dysplasia of the hip (DDH). What discharge instruction would be most important?
 
  A.
  How to correctly perform Ortolani's maneuver
  B.
  How to properly use the Pavlik harness
  C.
  When to return for corrective surgery
  D.
  Where to take the baby to be fit for corrective shoes

Question 2

An infant was born with anencephaly and was taken immediately to the NICU. The parents are about to visit for the first time. What action by the nurse is most appropriate?
 
  A.
  Call the hospital chaplain to visit the parents.
  B.
  Obtain informed consent for emergency surgery.
  C.
  Prepare the parents for how the infant will look.
  D.
  Show the parents proper gowning and gloving.

[macybarnes]

Answer to Question 1

ANS: B
A baby with DDH will be placed in a special splint, most often the Pavlik harness, to keep the legs in a position of abduction. The harness is worn continuously for 3-6 months, during which time bone growth helps create a normal hip joint. Ortolani's maneuver is an assessment for DDH. Surgery may be required, but not until it has been determined that bone growth is not creating a normally shaped hip joint. Corrective shoes are not needed.

Answer to Question 2

ANS: C
Infants born with anencephaly (incomplete closure of the anterior portion of the neural tube) are often missing parts of the brain, forehead, skull, and occiput. The nurse must be very sensitive in working with the parents of such children and needs to prepare the parents for how the child will look. Well-prepared parents have a better chance of being able to bond with their child. A visit from the chaplain may or may not be welcomed. Emergency surgery is not performed. Proper gowning and gloving are not needed unless the infant is in isolation.

[MGLQZ]

Thank you

[macybarnes]

Happy to help you