The nurse in the newborn nursery is doing the admission ...

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The nurse in the newborn nursery is doing the admission assessment on a neonate.Congenital hip dysplasia will be suspected when the nurse observes
 
  1. asymmetry of the gluteal and thighfat folds.
  2. trendelenburg sign.
  3. telescoping of the affected limb.
  4. lordosis.

Question 2

An infant has just returned from surgery for correction of bilateral congenital clubfeet. The infant has bilateral long-leg casts. The toes on both feet are edematous,but there is color, sensitivity,and movement to them. The nurse should
 
  1. call the physician to report theedema.
  2. elevate the legs on pillows.
  3. apply a warm moist pack to the feet.
  4. encourage movement of toes.

[blakeserpa]

Answer to Question 1

Answer:1
Rationale: A sign of congenital hip dysplasia in the infant would be asymmetry of the gluteal and thigh fat folds. Trendelenburg sign and telescoping of the affected limb are signs that present in an older child with congenital hip dysplasia. Lordosis does not occur with hip dysplasia.

Answer to Question 2

Answer:2
Rationale: The legs should be elevated on a pillow for 24 hours to promote healing and help with venous return.Some amount of swelling can be expected, so it would not be appropriate to notify the physician,especially if the color, sensitivity,and movement remained normal to the toes.Ice should be applied,not heat. An infant would not be able to follow directions to move toes,and in this case it would not be as effective as elevating the legs on pillows.

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Gracias!

[amit]

Excellent