A nurse is collecting data from an infant who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?
Asymmetric thigh folds.
Inwardly turned foot on the affected side.
Absent plantar reflexes.
Lengthened thigh on the affected side.
The Correct Answer is A
Choice A rationale:
Developmental dysplasia of the hip (DDH) is a condition in which the hip joint is not properly formed or is unstable. Asymmetric thigh folds are a common finding in infants with DDH, as the affected hip may be dislocated or subluxated, leading to a difference in thigh fold appearance.
Choice B rationale:
An inwardly turned foot is not a specific indication of DDH. Instead, it may suggest other conditions, such as clubfoot or metatarsus adductus (no reference).
Choice C rationale:
Absent plantar reflexes are not associated with DDH. This finding might indicate a neurological issue or spinal cord injury (no reference).
Choice D rationale:
A lengthened thigh is not a typical finding in DDH. Instead, a shortened thigh on the affected side might be present due to the displacement of the femoral head (no reference).
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A rear-facing car seat in the back passenger seat is the recommended position for a 6-month-old infant. This position provides the best protection for the infant’s head, neck, and spine in the event of a crash.
Choice B rationale
A front-facing car seat is not recommended for a 6-month-old infant. The American Academy of Pediatrics recommends that children remain in rear-facing car seats until they reach the highest weight or height allowed by their car seat’s manufacturer.
Choice C rationale
A snugly fastened harness and a securely anchored car seat are important for the safety of the infant. These measures ensure that the car seat will function as intended in the event of a crash.
Choice D rationale
Using an infant model car seat that is securely anchored is appropriate for a 6-month-old infant. Infant car seats are designed to provide appropriate support and protection for infants.
Correct Answer is C
Explanation
Choice A rationale
While it’s important to explain to a child why they are receiving medication, simply telling them that it will make them feel better may not be enough to alleviate their fear or anxiety about receiving an injection.
Choice B rationale
Asking the parents to hold the child during an injection can be traumatic for both the child and the parent. It’s generally recommended to have a trained healthcare professional hold the child in a safe and secure manner.
Choice C rationale
Allowing the child to hold a favorite toy can provide comfort and distraction during the injection.
Choice D rationale
While it might seem like a good idea to administer the medication in the child’s room where they feel safe, this can actually make the child associate their safe space with negative experiences.
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