During examination of a toddler's extremities, the nurse notes ...

[newyorker26]

During examination of a toddler's extremities, the nurse notes that the child is bowlegged. The nurse should recognize that this finding is
 
  a. Abnormal, requiring further investigation
  b. Abnormal unless it occurs in conjunction with knock-knee
  c. Normal if the condition is unilateral or asymmetric
  d. Normal, because the lower back and leg muscles are not yet well developed

Question 2

The nurse has a 2-year-old boy sit in tailor position during palpation for the testes. What is the rationale for this position?
 
  a. It prevents cremasteric reflex.
  b. Undescended testes can be palpated.
  c. This tests the child for an inguinal hernia.
  d. The child does not yet have a need for privacy.

[bblaney]

Answer to Question 1

D
Feedback
A This is an expected finding in toddlers.
B This is an expected finding in toddlers.
C Further evaluation is needed if it persists beyond age 2 to 3 years, especially in
African-American children.
D Genu varum (bowlegged) is common in toddlers when they begin to walk. It
usually persists until all of their lower back and leg muscles are well developed.

Answer to Question 2

A
Feedback
A The tailor position stretches the muscle responsible for the cremasteric reflex.
This prevents its contraction, which pulls the testes into the pelvic cavity.
B Undescended testes cannot be predictably palpated.
C Inguinal hernias are not detected by this method. This position is used for
inhibiting the cremasteric reflex.
D Privacy should always be provided for children.

[newyorker26]

Excellent

[jackie]

Gracias!