A nurse is assessing a I-month-old infant at a pediatric office. Which of the following findings requires a referral for further care?
Femoral head remains in the acetabulum during the Barlow maneuver
Symmetric gluteal and thigh skin folds
Equal leg length
Limited hip abduction
The Correct Answer is D
Rationale:
A. Femoral head remains in the acetabulum during the Barlow maneuver: This is a normal finding, indicating that the hip joint is stable and not dislocated.
B. Symmetric gluteal and thigh skin folds: Symmetry suggests normal hip alignment and absence of hip dysplasia.
C. Equal leg length: Equal leg length is expected and indicates no hip dislocation.
D. Limited hip abduction: Limited abduction in a 1-month-old may indicate developmental dysplasia of the hip (DDH). In DDH, the femoral head does not fully seat in the acetabulum, restricting outward movement. Early diagnosis prevents long-term complications such as gait abnormalities or limb-length discrepancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. In traditional Chinese medicine, health is viewed as a balance between yin (cold) and yang (hot) forces. After childbirth (a "cold" state), women typically consume "hot" foods to restore balance.
B. Chinese culture values emotional restraint and modesty; expressive gestures are less common.
C. Pain is often endured quietly as a sign of strength and self-control.
D. Avoiding direct eye contact is a sign of respect, not avoidance.
Correct Answer is C
Explanation
A. The transdermal patch should not be placed on the upper arm; it is applied to clean, dry areas such as the upper torso (excluding breasts), abdomen, buttocks, or upper outer arm only if not breastfeeding, since estrogen-containing methods can reduce milk supply.
B. The diaphragm must be refitted after childbirth due to changes in the size and shape of the cervix and vaginal canal. Using the same diaphragm used before pregnancy may result in poor fit and decreased contraceptive effectiveness.
C. Vaginal spermicides should be avoided during breastfeeding because they can irritate the vaginal mucosa, which is often dry and sensitive due to low estrogen levels, increasing the risk for infection.
D. The lactation amenorrhea method (LAM) is only effective for up to 6 months postpartum, provided the client is exclusively breastfeeding and has not resumed menstruation. It is unreliable after that period.
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