A nurse is assessing a newborn who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?

Inwardly turned foot on the affected side

Absent plantar reflexes

Lengthened thigh on the affected side

Asymmetric thigh fold

Answer and Explanation

The Correct Answer is D

DDH refers to an abnormal development or alignment of the hip joint, which can lead to instability or dislocation of the hip. An asymmetric thigh fold is a common physical finding in DDH, where there is a difference in the skin fold between the affected and unaffected sides of the thigh. This occurs due to the malposition or displacement of the femoral head within the acetabulum.

While other findings may also be present in DDH, such as an inwardly turned foot on the affected side (also known as a positive Ortolani or Barlow test), absent plantar reflexes, or a lengthened thigh on the affected side, the asymmetric thigh fold is a key indicator of hip dysplasia in a newborn.

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Correct Answer is A

Explanation

At this age, parallel play is common, where children engage in independent play near each other but do not actively interact or engage in cooperative play. They may observe each other, imitate each other's actions, or occasionally share toys, but they are still developing social skills and may not engage in sustained cooperative play or easily share and trade toys. Each child is likely to focus on their own activities and play with one or two preferred items, ignoring most of the other toys.

A. The toddler cannot jump with both feet. B. The toddler cannot build a tower of six to seven cubes C. The toddler cannot stand upright without support D. The toddler cannot turn a doorknob

Correct Answer is C

Explanation

By 15 months of age, toddlers typically develop the ability to stand and maintain balance without support. This milestone is an important indicator of gross motor development. Not being able to stand upright without support at this age may suggest a delay or impairment in motor skills, and further evaluation may be needed to determine the underlying cause.

The other findings mentioned—difficulty jumping with both feet, inability to build a tower of six to seven cubes, and inability to turn a doorknob—are within the expected range of development for a 15-month-old toddler. While some children may already demonstrate these skills, others may acquire them later in their developmental journey. It is important to consider individual variations in development, but the inability to stand without support should be further assessed.

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A nurse is assessing a newborn who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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