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

Answer and Explanation

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.

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Correct Answer is D

Explanation

Scoliosis is a condition characterized by an abnormal sideways curvature of the spine, resulting in an S or C shape when viewed from the back. It commonly develops during adolescence and can vary in severity. The lateral curvature of the spine observed during the physical examination is a key sign of scoliosis.

Lordosis refers to an excessive inward curvature of the spine in the lower back, while kyphosis refers to an excessive outward curvature of the spine in the upper back, often referred to as a "hunchback."

Torticollis, on the other hand, is a condition characterized by an abnormal position or tilt of the head due to muscle tightness or weakness.

A. Developing autonomy B. An anxiety reaction C. Resentment toward the mother D. Regression

Correct Answer is B

Explanation

These behaviors suggest that the child is experiencing distress or discomfort in response to the separation from the mother and the hospital environment.

Anxiety reactions are common in toddlers who are hospitalized or experience separation from their primary caregivers. It is a normal response to unfamiliar and potentially stressful situations. Toddlers at this age are still developing a sense of security and trust in their environment, and being in the hospital can disrupt their routine and comfort.

It is important for the nurse to provide a calm and supportive environment for the toddler, offering reassurance and comfort. The nurse can engage in activities that promote a sense of security and provide opportunities for the toddler to express their emotions and fears, such as through play or comforting rituals.

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A nurse is assessing a newborn who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with a routine physical examination of an adolescent. The provider observes a lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

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