Author Question: An infant born via cesarean section because of a breech presentation is diagnosed with bilateral ... (Read 83 times)

AEWBW · **on:** Jul 23, 2018

An infant born via cesarean section because of a breech presentation is diagnosed with bilateral congenital hip dysplasia. The primary nursing intervention directed toward this diagnosis is:

1. Assessing the infant frequently to determine abduction of the thighs
2. Maintaining the infant in the position of continuous abduction of both hips
3. Educating the parents about the importance of positioning the infant so that the head of the femurs are in alignment with the hip sockets
4. Providing pain management so that the infant is comfortable in the therapeutic position required

Question 2

A 16-year-old had a full leg cast for 4 months, and it is being removed today. Which of the fol-lowing statements made by the client shows the most informed understanding of the effects of immobilization of a muscle on its strength and stamina?

1. I'm hoping to be back at soccer practice in 3 weeks.
2. Walking and riding my bike will help regain the muscle.
3. I'll practice the strengthening routine the physical therapist taught me, so I can play baseball in the spring.
4. There was a good bit of muscle and strength loss, but I'll work at getting it back like it was before the break.

mjenn52 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 2
Maintenance of continuous abduction of the thigh so that the head of the femur presses into the center of the acetabulum is critical in the care and treatment of this infant. Although the other options are appropriate, they are not primary interventions in this scenario.

Answer to Question 2

ANS: 3
Even this temporary immobilization results in some muscle atrophy, loss of muscle tone, and joint stiffness. When a client is immobile or on prolonged bed rest, activity level, activity tolerance, and muscle tone decrease. Appropriate general exercise and specific exercise of the atrophied muscle will increase both muscle tone and overall stamina. Although the remaining options are not incorrect, the answer shows the greatest insight because it provides both a plan and a time line for recovery.