When instructing parents about the care of an infant in a cast for a clubfoot, the nurse should include:
a. reassurance that clubfoot usually resolves spontaneously.
b. instructions on washing the cast daily to keep it clean.
c. the importance of analogous blood donations for impending surgery.
d. notifying the physician of any vascular problems, such as toe swelling.
D
Toe swelling may be a sign of neurovascular compromise and the need for the cast to be readjusted. The physician should be notified immediately. Clubfoot does not resolve spontaneously. A clubfoot can recur and long-term follow-up is indicated. Casts are never washed. Parents should be instructed to keep the cast dry. Analogous blood donations are not a consideration for the child with a clubfoot.
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