During the newborn examination, the nurse assesses the infant for signs of developmental dysplasia of the hip. A finding that would strongly indicate this disorder would be:
1. Soles are flat with prominent fat pads.
2. Positive Babinski's reflex.
3. Metatarsus varus.
4. Asymmetric thigh and gluteal folds.
4
Rationale:
1. Flat soles are normal in newborns.
2. A positive Babinski's reflex is a normal finding in a newborn.
3. Metatarsus varus is an in-toeing of the feet that usually occurs secondary to intrauterine positioning and frequently resolves on its own, but approximately 10% of infants with metatarsus varus also have developmental dysplasia of the hip.
4. Asymmetric thigh and gluteal folds are a positive finding for developmental dysplasia of the hip, requiring follow-up with ultrasound.
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