The nurse is conducting a physical examination of a child with suspected developmental dysplasia of the hip. Which finding would help confirm this diagnosis?
A) Abduction occurs to 75 degrees and adduction to within 30 degrees (with stable pelvis).
B) A distinct "clunk" is heard with Barlow and Ortolani maneuvers.
C) A high-pitched "click" is heard with hip flexion or extension.
D) The thigh and gluteal folds are symmetric.
Ans: B
A distinct "clunk" while performing Barlow and Ortolani maneuvers is caused as the femoral head dislocates or reduces back in to the acetabulum. A higher-pitched "click" may occur with flexion or extension of the hip. This is a benign, adventitious sound that should not be confused with a true "clunk" when assessing for developmental dysplasia of the hip. Abduction to 75 degrees, adduction within 30 degrees, and symmetric thigh and gluteal folds are normal findings.
You might also like to view...
A 30-year-old woman with two preschoolers has sought the nurse's advice because she has heard conflicting reports about the safety and efficacy of cough and cold products in young children. The nurse should inform the woman that
A) cough and cold remedies are generally safe and effective for children over the age of 2. B) there are concerns among health professionals about how safe and effective these medications are. C) media reports about the risks of cough and cold medications in children have greatly exaggerated the risks. D) it is imperative to use age-specific preparations of cough and cold remedies.
A health care agency is applying for accreditation and the accrediting agency is conducting audits of randomly selected medical records. To support the agency's accreditation, these medical records should include:
A) Evidence of home care and nursing follow-up for six weeks following discharge B) Self-reflection from nursing and other care providers about the quality of their care C) Evidence that nurses have set goals for improving their future practice D) Evidence that nursing interventions have been evaluated in terms of the client's response
The nurse is educating a group of teenagers in high school about the risks of chewing tobacco. The nurse would include information about which of the following signs of oral cancer?
1. Bleeding and inflamed gums 2. Smooth and shiny tongue 3. Red, swollen tonsils 4. Ulcerations on the lip or under the tongue
The syndrome of inappropriate antidiuretic hormone (SIADH) is diagnosed by: a. low serum osmolarity and sodium and urinehyperosmolarity
b. high serum osmolarity and sodium and urinehyperosmolarity. c. high serum osmolarity and sodium and urinehypoosmolarity. d. low serum osmolarity and sodium and urine hypoosmolarity.