What is an important aspect of parent teaching for the care of a baby undergoing serial casting for clubfoot?

Use lotion or powder inside the cast to prevent itching

Ensure the cast remains dry and clean at all times.

Massage the baby’s foot to improve circulation while the cast is on.

Remove the cast daily to allow the baby’s skin to breathe.

Answer and Explanation

The Correct Answer is B

A. "Use lotion or powder inside the cast to prevent itching." – Incorrect. Lotions and powders can increase moisture, leading to skin irritation or infection.

B. "Ensure the cast remains dry and clean at all times." – Correct. Moisture can weaken the cast and cause skin breakdown.

C. "Massage the baby’s foot to improve circulation while the cast is on." – Incorrect. Massage is not recommended as it may interfere with alignment.

D. "Remove the cast daily to allow the baby’s skin to breathe." – Incorrect. The cast must remain on continuously and is only removed by a healthcare provider.

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Correct Answer is B

Explanation

A. Encouraging the child to be more physically active to increase calorie expenditure. – Incorrect. A child with failure to thrive (FTT) requires adequate caloric intake, and excessive activity could further contribute to weight loss.

B. Provide education on growth and development and parenting skills. – Correct. Many cases of FTT result from inadequate nutrition due to parental knowledge deficits. Educating parents on feeding techniques and child development helps promote growth.

C. Restricting fluids to prevent excessive weight gain. – Incorrect. FTT is characterized by inadequate weight gain, not excessive weight. Hydration is essential for overall health.

D. Encouraging the child to eat less to promote weight loss. – Incorrect. The goal of FTT management is to increase caloric intake to support proper growth and development.

A. Place the child on a no-salt-added diet. B. Educate the parents about potential complications. C. Maintain a saline-lock for possible medications. D. Check the child’s daily weight.

Correct Answer is D

Explanation

A. Place the child on a no-salt-added diet. – Important but not the priority. Sodium restriction helps control fluid retention, but monitoring fluid balance is more critical.

B. Educate the parents about potential complications. – Important but not the first action. Early detection of complications through monitoring is more urgent.

C. Maintain a saline-lock for possible medications. – Useful but not the highest priority. Monitoring for fluid overload takes precedence.

D. Check the child’s daily weight. – Correct. Daily weight monitoring is the most effective way to assess fluid retention and worsening kidney function in acute glomerulonephritis.

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What is an important aspect of parent teaching for the care of a baby undergoing serial casting for clubfoot?

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