A 1-month-old infant is seen in a clinic and is diagnosed with developmental dysplasia of the hip (DDH). On assessment, the nurse understands that which finding would be noted in this condition?

Limited range of motion in the affected hip

Symmetry of the gluteal skinfolds when the infant is placed prone and the legs are extended

Negative Barlow test

Unaffected leg is pale and cool

Answer and Explanation

The Correct Answer is A

A. Developmental dysplasia of the hip (DDH) often presents with a limited range of motion in the affected hip, particularly in abduction.

B. Asymmetry of the gluteal skinfolds, not symmetry, is a typical finding in DDH. This asymmetry is due to the improper alignment of the hip joint.

C. A positive Barlow test, where the hip can be dislocated by adduction and posterior pressure, is indicative of DDH. A negative Barlow test would suggest the absence of DDH.

D. A pale and cool leg is not a common finding in DDH. This would be more indicative of a circulatory problem, not hip dysplasia.

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Correct Answer is A

Explanation

A. Hypertension (blood pressure of 136/92 mm Hg) in a child with acute pyelonephritis can indicate a severe condition that may lead to renal damage or worsening kidney function. Immediate intervention is necessary to manage high blood pressure and prevent complications.

B. A heart rate of 100 bpm is within normal limits for a 7-year-old and does not require immediate action.

C. Decreased urine output is concerning and needs monitoring, but hypertension is the more urgent issue.

D. Tea-colored urine suggests hematuria or concentrated urine, which is important but not as immediately life-threatening as high blood pressure.

A. A child who is recovering from nasopharyngitis B. A child who has nephrotic syndrome C. A child who has gastroenteritis D. A child who has rheumatic fever

Correct Answer is B

Explanation

A. A child recovering from nasopharyngitis could still be contagious, and since children with leukemia have compromised immune systems, they are at higher risk of infections.

B. A child with nephrotic syndrome, although potentially needing special care, does not pose the same infection risk as a child recovering from an infectious disease. Therefore, they are a more suitable roommate for a child with leukemia.

C. A child with gastroenteritis may still be infectious and could expose the child with leukemia to gastrointestinal pathogens.

D. A child with rheumatic fever does not have a contagious illness, but the specific needs of the child with leukemia and the potential for complications from infections make it less ideal compared to a non-infectious condition like nephrotic syndrome.

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A 1-month-old infant is seen in a clinic and is diagnosed with developmental dysplasia of the hip (DDH). On assessment, the nurse understands that which finding would be noted in this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a 7-year-old who has been diagnosed with acute pyelonephritis, what assessment finding requires immediate action by the nurse?

Correct Answer is A

Explanation

A nurse is admitting a pediatric client to the unit who has leukemia. Which client should the nurse place in the same room with this child?

Correct Answer is B

Explanation

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