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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a.Imaginary playmates are more common in the preschool years, typically around ages 3 to 5, rather than during the toddler stage.
b.Toddlers are in Erikson's stage of autonomy versus shame and doubt. During this stage, they strive for independence and autonomy, often exhibiting negative behaviors such as saying "no" frequently as they assert their independence. Theyare often in the stage of asserting their independence, leading to behaviors like tantrums, stubbornness, and defiance.
c.Sexual curiosity is more commonly seen in preschool and school-age children, not typically in toddlers.
d.This stage applies to preschool-aged children (approximately 3 to 6 years old), where they begin to assert power and control over their environment through directing play and other social interactions.
Correct Answer is A
Explanation
The nurse should include information that growth spurts in height occur toward the end of mid puberty. Gynecomastia is not a common change in boys during puberty, but it might occur in some cases. Changes in the voice and pubic hair growth signal the beginning of puberty. If scrotal changes have not occurred by the age of 14 years, puberty might be considered delayed.
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