When attempting to diagnose and treat developmental dysplasia of the hip (DDH), the nurse should:
1. be able to perform the Ortolani and the Barlow tests.
2. teach double- or triple-diapering for added support.
3. explain to parents the need for serial casting.
4. carefully monitor infants for DDH at follow-up visits.
4
1. Incorrect. Ortolani and Barlow tests must be performed by experienced clinicians in order to prevent fracture or other damage to the hip.
2. Incorrect. Double- or triple-diapering is not recommended because it promotes hip exten-sion, thus worsening the problem.
3. Incorrect. Serial casting is done for clubfoot, not DDH.
4. Correct. Because DDH is often not detected at birth, infants should be carefully moni-tored at follow-up visits.
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