A client brings their 8-month-old infant for a check-up. The nurse is assessing the infant's hip stability. What maneuver should the nurse perform?
Ortolani maneuver.
Barlow maneuver.
Phalen maneuver.
Tinel's sign.
The Correct Answer is A
A. Correct. The Ortolani maneuver is used to assess for developmental dysplasia of the hip (DDH) in infants. It involves gently abducting the hips while applying gentle pressure to feel for any instability.
B. Incorrect. The Barlow maneuver is also used to assess for DDH, but it involves adducting the hips.
C. Incorrect. The Phalen maneuver is used to assess for carpal tunnel syndrome, which is not relevant to hip stability.
D. Incorrect. Tinel's sign is used to assess for nerve compression, typically in the wrist, and is not relevant to hip stability.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. The Babinski reflex, where the big toe extends and the other toes fan out, is normal in infants but typically disappears by the age of 2.
B. Correct. The Moro reflex is a normal startle response in newborns. It involves symmetrically spreading the arms and then bringing them back to the body when the infant experiences a sudden change in position or stimulation.
C. Incorrect. The tonic neck reflex, also known as the "fencing" reflex, is a normal infantile reflex but typically disappears by 6 months.
D. Incorrect. The plantar grasp reflex, where the toes curl in when the sole of the foot is touched, is normal in infants but typically disappears by 9 months.
Correct Answer is A
Explanation
A. Correct. Using the Snellen eye chart is a standard method for assessing visual acuity in children who can cooperate with the test.
B. Incorrect. Asking the child to identify colors is not a specific test for visual acuity.
C. Incorrect. Using an ophthalmoscope is a tool for examining the internal structures of the eye, not for assessing visual acuity.
D. Incorrect. Observing eye movements is important for assessing coordination and alignment of the eyes but does not directly measure visual acuity.
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