Which factor should the nurse include when teaching a parent ...

[Kthamas]

Which factor should the nurse include when teaching a parent about the care of a child in a Pavlik harness for hip dysplasia?
 
  a. The harness may be removed with every diaper change.
  b. The harness is used to maintain the infant's hips in flexion and abduction and external rotation.
  c. The harness is only the first step of treatment.
  d. The harness is worn for only 2 weeks.

Question 2

Which should the nurse evaluate before administering the Denver Developmental Screening Test II (DDST-II)?
 
  a. The child's height and weight
  b. The parent's ability to comprehend the results
  c. The child's mood
  d. The parentchild interaction

[blazinlyss]

Answer to Question 1

B
The harness is used to maintain the infant's hips in flexion and external rotation to allow the hips (femoral head and acetabulum) to mold and grow normally. The harness must be worn for 23 hours per day and should be removed only according to the physician's recommendation. Hips that remain unstable become progressively more deformed as maturity takes place. With early diagnosis and treatment, the Pavlik harness is often the only treatment necessary. The length of treatment is determined by radiographic documentation of the maturity of the hips.

Answer to Question 2

C
The results of the screening test are valid if the child acted in a normal and expected manner. The child's height and weight are not relevant to the DDST-II screening process. The parent's ability to understand the results of the screening is not relevant to the validity of the test. The parentchild interaction is not significantly relevant to the test results.