The nurse is checking a newborn for the presence of Ortolani and ...

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The nurse is checking a newborn for the presence of Ortolani and Barlow signs. For which health problem are these assessments used?
 
  A) Club foot
  B) Cleft palate
  C) Hip dysplasia
  D) Tracheoesophageal fistula

Question 2

A woman with a history of crack cocaine abuse is admitted to the labor and birth area. While caring for the client, the nurse notes a sudden onset of fetal bradycardia. Inspection of the abdomen reveals an irregular wall contour.
 
  The client also complains of acute abdominal pain that is continuous. Which of the following would the nurse suspect? A) Amniotic fluid embolism
  B) Shoulder dystocia
  C) Uterine rupture
  D) Umbilical cord prolapse

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Answer to Question 1

C
Feedback:
: Ortolani and Barlow signs are used to assess for the presence of hip dysplasia. These techniques assess for hip clicking and femoral head slipping. These signs are not used to assess for club foot, cleft palate, or tracheoesophageal fistula.

Answer to Question 2

C
Feedback:
Uterine rupture is associated with crack cocaine use, and generally the first and most reliable sign is sudden fetal distress accompanied by acute abdominal pain, vaginal bleeding, hematuria, irregular wall contour, and loss of station in the fetal presenting part. Amniotic fluid embolism often is manifested with a sudden onset of respiratory distress. Shoulder dystocia is noted when continued fetal descent is obstructed after the fetal head is delivered. Umbilical cord prolapse is noted as the protrusion of the cord alongside or ahead of the presenting part of the fetus.