The nurse is evaluating the outcome of teaching for a baby born with torticollis. Which observation indicates that teaching has been successful?
A) The child looks in the direction of the affected muscle.
B) The child's shoulder of the affected muscle is elevated.
C) The child looks in the direction opposite of the affected muscle.
D) The child rolls onto the side to look from the direction opposite of the affected muscle.
A
Feedback:
: To relieve torticollis, parents need to begin a program of passive stretching exercises, laying the infant on a flat surface and rotating the head through a full range of motion. Parents should always encourage the infant to look in the direction of the affected muscle. They can encourage this by holding the child to feed in such a position the child must look in the desired direction. If manual stretching is begun early and performed consistently by parents, further treatment usually is not necessary. If extreme injury to the muscle occurred, torticollis can lead to the continued elevation of one shoulder. Any observations where the child is looking in the direction opposite of the affected muscle indicates that teaching has not been successful.
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