During the newborn examination, the nurse assesses the infant for signs of developmental dysplasia of the hip. A finding that would strongly indicate this disorder would be
1. soles are flat with prominent fatpads.
2. positive Babinski reflex.
3. metatarsus varus.
4. asymmetric thigh and gluteal folds.
Answer:4
Rationale: A positive Babinski reflex and flat soles are normal newborn findings. Metatarsus varus is an in-toeing of the feet that usually occurs secondary to intrauterine positioning and frequently resolves on its own,but approximately 10% of infants with metatarsus varus also have developmental dysplasia of the hip. Asymmetric thigh and gluteal folds are a positive finding for developmental dysplasia of the hip requiring follow-up with ultrasound.
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