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 folds
The Correct Answer is D
Choice A reason:
Inwardly turned foot on the affected side: An inwardly turned foot, also known as metatarsus adductus, is not typically associated with developmental dysplasia of the hip (DDH). This condition is more related to foot positioning and alignment rather than hip dysplasia.
Choice B reason:
Absent plantar reflexes: The plantar reflex, also known as the Babinski reflex, is usually present in newborns and indicates normal neurological function. An absent plantar reflex is not a common finding in DDH and would more likely suggest a neurological issue.
Choice C reason:
Lengthened thigh on the affected side: In DDH, the affected thigh is often shorter, not longer, due to the displacement of the femoral head from the acetabulum. This can lead to a noticeable difference in leg length.
Choice D reason:
Asymmetric thigh folds: Asymmetric thigh folds are a common sign of DDH. When the hip is dislocated or subluxated, it can cause uneven skin folds on the thighs and buttocks. This asymmetry is a key indicator that prompts further investigation, such as an ultrasound or X-ray.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A reason:
Antibiotic ointment to both eyes: This is typically administered to newborns to prevent bacterial infections such as gonorrhea and chlamydia, which can be contracted during birth. The ointment helps prevent neonatal conjunctivitis, a serious eye infection that can lead to blindness if untreated.
Choice B reason:
Hepatitis B immunization: Newborns are given the hepatitis B vaccine to protect them from the hepatitis B virus, which can cause serious liver disease. This vaccine is usually administered within the first 24 hours of birth.
Choice C reason:
Lidocaine gel to the umbilical stump: This is not a standard practice for newborn care. The umbilical stump is typically kept clean and dry to prevent infection, but lidocaine gel is not used for this purpose.
Choice D reason:
Haemophilus influenzae type b immunization: This vaccine is not typically given to newborns immediately after birth. It is usually administered starting at 2 months of age as part of the routine immunization schedule.
Choice E reason:
Vitamin K injection: Newborns have low levels of vitamin K, which is necessary for blood clotting. A vitamin K injection is given shortly after birth to prevent bleeding disorders.
Correct Answer is B
Explanation
Choice A reason:
Accidental lacerations: While accidental lacerations can occur during a cesarean delivery, they are not the most immediate concern compared to respiratory distress.
Choice B reason:
Respiratory distress: Respiratory distress is the priority assessment for a newborn following a cesarean delivery. Babies born via cesarean may have difficulty clearing lung fluid, which can lead to respiratory issues.
Choice C reason:
Hypothermia: Hypothermia is a concern for all newborns, but it is not as immediate a priority as respiratory distress.
Choice D reason:
Acrocyanosis: Acrocyanosis, or bluish discoloration of the hands and feet, is common in newborns and usually resolves on its own. It is not as critical as respiratory distress.
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