In caring for the hospitalized child who is failing to thrive, ...

[tatyanajohnson]

In caring for the hospitalized child who is failing to thrive, the child should be assigned to:
 
  a. A variety of caregivers to increase stimulation
  b. A caregiver with a heavy assignment so the mother can give care
  c. A consistent caregiver to role-model care
  d. A team of caregivers to concentrate on the baby and the mother

Question 2

A 1-year-old toddler presents to the outpatient clinic with the parents concerned about their child being pigeon-toed.. The grandparents state a positive family history of clubfoot.
 
  The family is sure it's clubfoot, and that the child is going to be deformed and disabled now. Upon physical examination, the child would have which of the following characteristics? 1. Fixed deformity in equinus, tight heel cords, inability to place foot flat on the ground, or walking on supinated feet
   2. Tight hamstrings and walking on tiptoes
   3. Forefoot abduction and heel in neutral alignment
   4. Inward rotated tibia shafts

[britb2u]

Answer to Question 1

C
The assignment should be for a consistent caregiver to help the baby establish trust and to role-model loving care.

Answer to Question 2

1
Feedback
1. Clubfoot is a rigid, fixed deformity that cannot be corrected by manipulation alone. It needs to be treated in the newborn phase with Ponseti technique. Failed conservative treatment in older infant/toddler results in tight heel cords and supination of the foot.
2. Failed conservative treatment in older infants/toddlers results in tight heelcords and supination of foot.
3. The heel will not have neutral alignment.
4. The tibial shafts will not be rotated inward.