The nurse suspects clubfoot in the newborn. It is appropriate to:
1. Adduct the foot and listen for a click.
2. Move the foot to midline and determine resistance.
3. Extend the foot and observe for pain.
4. Stimulate the sole of the foot.
2
Rationale:
1. Adducting the foot and listening for a click is not an assessment that is done.
2. Clubfoot is suspected when the foot will not turn to a midline position or align readily.
3. Extending the foot and observing for pain will not determine or rule out clubfoot.
4. Stimulating the sole of the foot will elicit the plantar grasp reflex, and is not an appropriate assessment for clubfoot.
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