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

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A Reason:

Reddened with a small amount of bloody drainage is a common finding immediately after circumcision. However, this is not the expected appearance after the initial healing phase. The presence of bloody drainage should decrease over time, and the site should begin to show signs of healing.

Choice B Reason:

Pink without drainage is not typical immediately after circumcision. The surgical site will usually be red and may have some drainage as part of the normal healing process. A completely pink and dry site would be expected only after full healing has occurred.

Choice C Reason:

Reddened with a scant amount of yellow exudate is the expected appearance during the healing process. The yellow exudate is part of the normal healing response and should not be mistaken for infection. This exudate typically appears within the first few days after circumcision and indicates that the healing process is progressing normally.

Choice D Reason:

Reddened, with copious blood is not normal and indicates a potential complication. Copious bleeding from the circumcision site requires immediate medical attention as it may suggest an issue with clotting or a problem with the surgical site.

A. Administer oxygen by non-rebreather mask at 5 L/min B. Obtain laboratory study of prothrombin and partial thromboplastin time C. Methylergonovine 0.2 mg IM now D. Insert an indwelling urinary catheter

Correct Answer is C

Explanation

Choice A Reason:

Administering oxygen by non-rebreather mask at 5 L/min is a common intervention for patients who may be experiencing respiratory distress or hypoxia. A non-rebreather mask can deliver high concentrations of oxygen, typically between 60% to 90% FiO2, which is crucial in emergency situations such as severe hypoxia, respiratory failure, or carbon monoxide poisoning. Given the client’s stable respiratory rate of 18/min and pulse of 80/min, this prescription does not require immediate clarification.

Choice B Reason:

Obtaining laboratory studies of prothrombin time (PT) and partial thromboplastin time (PTT) is a standard procedure to assess the blood’s clotting ability. These tests are essential for identifying any coagulation disorders, monitoring the effectiveness of anticoagulant therapy, and evaluating the risk of bleeding before surgical procedures. Given the client’s recent delivery and potential for postpartum hemorrhage, this prescription is appropriate and does not require clarification.

Choice C Reason:

Methylergonovine (Methergine) is an ergot alkaloid used to prevent or treat excessive bleeding after childbirth by inducing uterine contractions. However, it is contraindicated in patients with hypertension due to its potential to cause severe vasoconstriction and elevate blood pressure further. The client’s blood pressure is already elevated at 146/94 mm Hg, making this prescription potentially harmful and requiring clarification.

Choice D Reason:

Inserting an indwelling urinary catheter is a common practice in postpartum care to monitor urine output and prevent bladder distention, which can interfere with uterine contraction and increase the risk of postpartum hemorrhage. This intervention is appropriate for the client’s condition and does not require clarification.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A male newborn infant has just been circumcised. The nurse checks the surgical site, expecting it to have what appearance?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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