The nurse is assisting the health care provider (HCP) in examining an infant with suspected congenital hip dysplasia.
What sign should the nurse expect to find during the assessment?
Clear fluid oozing out of the pilonidal sinus.
Positive hip click bilaterally.
Erythema toxicum on the torso.
Limited abduction of the affected hip.
The Correct Answer is D
Choice A rationale
Clear fluid oozing from a pilonidal sinus is unrelated to congenital hip dysplasia and more associated with other conditions like pilonidal cysts.
Choice B rationale
A positive hip click can indicate hip instability but is not definitive for congenital hip dysplasia.
Choice C rationale
Erythema toxicum is a benign, self-limiting skin condition and does not relate to hip dysplasia.
Choice D rationale
Limited abduction of the hip is a key sign of congenital hip dysplasia, indicating restricted movement due to abnormal hip joint development. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Hypertonia, tachycardia, and metabolic alkalosis are not associated with necrotizing enterocolitis (NEC). NEC is characterized by gastrointestinal symptoms and signs of systemic illness.
Choice B rationale
Hypertension, apnea, and ruddy skin color are not specific indicators of necrotizing enterocolitis (NEC). NEC primarily presents with gastrointestinal symptoms and systemic instability.
Choice C rationale
Abdominal distention, temperature instability, and bloody stools are classic signs of necrotizing enterocolitis (NEC). These symptoms indicate severe inflammation and potential bowel necrosis.
Choice D rationale
Scaphoid abdomen, no residual with feedings, and increased urinary output are not characteristic of necrotizing enterocolitis (NEC). NEC typically presents with abdominal distention and feeding intolerance. .
Correct Answer is B
Explanation
Choice A rationale
Herbal tea is not scientifically proven to reduce breast engorgement and may not be effective.
Choice B rationale
Warm compresses applied before feeding help to soften the breasts, making it easier for the baby to latch and reducing engorgement.
Choice C rationale
Letting the baby drain one breast completely at each feeding can help prevent engorgement but is not specifically for managing existing engorgement.
Choice D rationale
Feeding every 3-4 hours may not be frequent enough to prevent engorgement, especially in the early days of breastfeeding.
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