Assessment of a newborn reveals uneven gluteal (buttocks) skin ...

[jayhills49]

Assessment of a newborn reveals uneven gluteal (buttocks) skin creases and a clunk when Ortolani's maneuver is performed. Which of the following would the nurse suspect?
 
  A) Slipping of the periosteal joint
  B) Developmental hip dysplasia
  C) Normal newborn variation
  D) Overriding of the pelvic bone

Question 2

A pregnant adolescent is upset because she is not permitted to deliver the baby at an alternative birthing center. Why is the use of an alternative birthing center contraindicated for this patient?
 
  A) High risk for pelvic disproportion
  B) The patient's parents disapproved of the center
  C) Alternative birth centers admit only married women
  D) Alternative birthing centers only admit patients over the age of 21 years

[flexer1n1]

Answer to Question 1

B
Feedback:
A clunk indicates the femoral head hitting the acetabulum as the head reenters the area. This, along with uneven gluteal creases, suggests developmental hip dysplasia. These findings are not a normal variation and are not associated with slipping of the periosteal joint or overriding of the pelvic bone.

Answer to Question 2

A
Feedback:
Pregnant adolescents are prone to cephalopelvic disproportion because of the patient's incomplete pelvic growth. Using a birthing center could be dangerous for the patient and the fetus. The use of a birthing center is not contraindicated because the patient's parents disapprove of the center. There are no restrictions such as marital status or age on the use of a birthing center.