The nurse knows that parents need further teaching with regard to the treatment of congenital clubfoot when they state what?
a. "We'll keep the cast dry."
b. "We're happy this is the only cast our baby will need."
c. "We'll watch for any swelling of the foot while the cast is on."
d. "We're getting a special car seat to accommodate the cast."
ANS: B
The common approach to clubfoot management and treatment is the Ponseti method. Serial casting is begun shortly after birth. Weekly gentle manipulation and stretching of the foot along with placement of serial long-leg casts allow for gradual repositioning of the foot. The extremity or extremities are casted until maximum correction is achieved, usually within 6 to 10 weeks. If parents state that this is the only cast the infant will need, they need further teaching.
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