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).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Applying suction continuously while inserting the suction catheter is not recommended. This could potentially cause trauma to the trachea and lead to complications.
Choice B rationale
Using a large diameter suction catheter for better suctioning is not recommended. The size of the suction catheter should be appropriate for the size of the tracheostomy tube. Using a catheter that is too large could cause trauma to the trachea.
Choice C rationale
Suctioning for no more than 10 seconds at a time is recommended to prevent hypoxia (lack of oxygen). Prolonged suctioning can lead to complications such as hypoxia, trauma to the trachea, and cardiac arrhythmias.
Choice D rationale
Applying suction while the child is exhaling is not recommended. Suction should be applied while withdrawing the suction catheter, not during exhalation.
Correct Answer is B
Explanation
Choice A rationale
While rest is important for a child, suggesting that the child needs to rest does not address the parents’ concern about their child crying when they leave.
Choice B rationale
This is the correct answer. It is normal for an 8-month-old child to show signs of separation anxiety when their parents leave. This is a part of their normal development where they start to understand object permanence - the concept that things and people exist even when they’re out of sight. This can make them upset when their parents leave as they understand their parents are somewhere else, but they don’t know when they’ll return.
Choice C rationale
Notifying the provider about a normal developmental behavior is not necessary. It’s important for parents to understand that this behavior is a normal part of their child’s development.
Choice D rationale
While an overstimulating environment can cause distress in children, in this case, the child is upset because of their parents leaving, not because of the environment.
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