During examination of a toddler's extremities, the nurse notes that the child is bowlegged. The nurse should recognize that this finding is which?
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 an expected finding in toddlers when they begin to walk. It usually persists until all of 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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