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 A
Explanation
At this age, parallel play is common, where children engage in independent play near each other but do not actively interact or engage in cooperative play. They may observe each other, imitate each other's actions, or occasionally share toys, but they are still developing social skills and may not engage in sustained cooperative play or easily share and trade toys. Each child is likely to focus on their own activities and play with one or two preferred items, ignoring most of the other toys.
Correct Answer is B
Explanation
Allowing the child to have a doll for medical play would help foster their sense of autonomy. This allows the child to take on a role of authority and control in a familiar context, promoting a sense of independence and decision-making.
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