The Ponseti technique for the treatment of clubfoot consists of:

1. Wrapping the foot with ace wraps for 12 hours a day.
2. Serial casting of the foot beginning at the age of 2.
3. Serial castings beginning within the first week of life.
4. Letting the child adapt to the foot, and then treat later in life if the family/child choose to do so.


3
Feedback
1. The ace wrap is not effective. The child will need casting to help correct the deformity.
2. Serial casting should begin before the age of 2.
3. Correction as early as possible in the child's life will increase the chances of full function.
4. Adaptation will occur at any stage, but if correction is going to be made, it needs to be done prior to the bones increasing in calcification.

Nursing

You might also like to view...

Nursing plays an important role in the care of patients at risk for septic shock. What can the nurse do to decrease a patient's risk of septic shock?

A) Provide prophylactic antibiotic coverage. B) Use thorough hand washing techniques. C) Cover all incisions. D) Increase fluids.

Nursing

The nurse assesses for diminished or absence sensation, numbness, and tingling on a child who has had a cast applied to treat a fracture. For what is the nurse monitoring?

A) Pain B) Pallor C) Paresthesia D) Paralysis

Nursing

A client with glaucoma is being treated with timolol (Timoptic) ophthalmic drops. The client complains of blurry vision and eye burning and does not want to continue to use the medication. How should the nurse respond?

1. "These are expected side effects for this type of medication and might lessen over time." 2. "If you place a finger over the inner part of your eyes, these problems should become less noticeable." 3. "In order to preserve your eyesight, it is important to keep using these drops. It is normal to experience temporary burning." 4. "These problems might indicate another eye problem. Be sure to tell your ophthalmologist about these concerns."

Nursing

A child has undergone surgery using steel bar placement to correct pectus excavatum. What position would the nurse instruct the parents to avoid?

A) Semi-Fowler B) Supine C) High Fowler D) Side-lying

Nursing