Author Question: An infant is born with one lower limb deficiency. When is the optimum time for the child to be ... (Read 39 times)

ARLKQ · **on:** Jun 28, 2018

An infant is born with one lower limb deficiency. When is the optimum time for the child to be fitted with a functional prosthetic device?

a. As soon as possible after birth
b. When the infant is developmentally ready to stand up
c. At about ages 12 to 15 months, when most children are walking
d. At about 4 years, when the healthy limb is not growing so rapidly

Question 2

A neonate is born with mild clubfeet. When the parents ask the nurse how this will be corrected, what should the nurse explain?

a. Traction is tried first.
b. Surgical intervention is needed.
c. Frequent, serial casting is tried first.
d. Children outgrow this condition when they learn to walk.

beccamahon · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
An infant should be fitted with a functional prosthetic leg when the infant is developmentally ready to pull to a standing position. When the infant begins limb exploration, a soft prosthesis can be used. The child should begin using the prosthesis as part of his or her normal development. This will match the infant's motor readiness.

Answer to Question 2

ANS: C
Serial casting is begun shortly after birth, before discharge from the nursery. Successive casts allow for gradual stretching of skin and tight structures on the medial side of the foot. Manipulation and casting of the leg are repeated frequently (every week) to accommodate the rapid growth of early infancy. Serial casting is the preferred treatment. Surgical intervention is done only if serial casting is not successful. Children do not improve without intervention.