The nurse is caring for a child diagnosed with clubfoot. Which ...

[geodog55]

The nurse is caring for a child diagnosed with clubfoot. Which assessment findings does the nurse anticipate in the affected extremity? (Select all that apply.)
 
  A.
  Adducted forefoot
  B.
  Dorsiflexion
  C.
  Everted heel
  D.
  Plantar flexion
  E.
  Rigidity

Question 2

A nurse is teaching parents how to care for their child who is undergoing serial casting for clubfoot. Which information does the nurse provide? (Select all that apply.)
 
  A.
  Cast care
  B.
  Cast drying techniques
  C.
  Neurovascular assessment
  D.
  Pain management
  E.
  Wound care

[Rilsmarie951]

Answer to Question 1

ANS: A, D, E
Signs of clubfoot include plantar flexion, inverted heel, adducted forefoot, and rigidity to the point that the foot cannot be manipulated into a neutral position.

Answer to Question 2

ANS: A, C, D
Parents need to be taught how to properly care for their child's cast. The cast is left open to air for drying, so there are no special techniques needed. Specifically, the parents should not use a hair dryer, as this may cause burns. The parents should also be taught about managing the child's pain, as stretching the muscles and ligaments will be painful. They also need instruction on performing neurovascular checks and when to call the physician. Serial casting is not a surgical procedure, so wound care instructions are not needed.