During examination of a toddler's extremities, the nurse notes that the child is bowlegged. The nurse should recognize that this finding is:
a. abnormal and requires further investigation.
b. abnormal unless it occurs in conjunction with knock-knee.
c. normal if the condition is unilateral or asymmetric.
d. normal because the lower back and leg muscles are not yet well developed.
ANS: D
Lateral bowing of the tibia (bowlegged) is common in toddlers when they begin to walk. It usually persists until all their lower back and leg muscles are well developed. Further evaluation is needed if it persists beyond ages 2 to 3 years, especially in African-American children.
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