A nurse is assessing a newborn who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?
Inwardly turned foot on the affected side
Absent plantar reflexes
Lengthened thigh on the affected side
Asymmetric thigh fold
The Correct Answer is D
DDH refers to an abnormal development or alignment of the hip joint, which can lead to instability or dislocation of the hip. An asymmetric thigh fold is a common physical finding in DDH, where there is a difference in the skin fold between the affected and unaffected sides of the thigh. This occurs due to the malposition or displacement of the femoral head within the acetabulum.
While other findings may also be present in DDH, such as an inwardly turned foot on the affected side (also known as a positive Ortolani or Barlow test), absent plantar reflexes, or a lengthened thigh on the affected side, the asymmetric thigh fold is a key indicator of hip dysplasia in a newborn.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Correct answer: C
A. While distraction can sometimes work, it may inadvertently reinforce the tantrum if the child perceives that having a tantrum leads to getting attention or special activities.
B. Telling the child that temper tantrums are not acceptable may not be effective as toddlers may not fully comprehend or control their emotions yet. Ignoring the tantrums can also be challenging as it may reinforce the behavior or escalate the intensity.
C.When a tantrum does happen, parents should ignore itifitisn’t dangerous.When kids get attention for tantrums,they are more motivated to keep having them. Instead, give attention to yourchildwhen they do something good. Give lots of praise whenthey compromise,try to calm themselves downor do something difficult without a tantrum.
D. Physically restraining the child is not recommended as it can be distressing for the child and potentially cause harm. It is important to use positive and supportive strategies to manage and address temper tantrums in toddlers.
Correct Answer is ["A","C","D"]
Explanation
Lead is a toxic metal that can be found in old paint, dust, soil, and certain consumer products. Children are particularly vulnerable to lead poisoning, which can lead to developmental delays, learning difficulties, and other health problems.
Pesticides are chemicals used to control pests, such as insects and rodents. Children can be exposed to pesticides through contaminated food, water, or direct contact with treated areas. Pesticide exposure has been linked to various health issues, including neurodevelopmental disorders and respiratory problems.
Certain medications can be toxic to children, especially if taken in excessive amounts or without appropriate supervision. Accidental ingestion of medications, including over-the-counter and prescription drugs, is a significant concern in pediatric care.
While air pollution is a significant environmental factor that can impact children's health, it is not typically considered one of the most common toxins in pediatric care.
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