Prompt management of hypothyroidism in infancy is necessary because:

Choice A reason:

Measuring the abdominal girth is a useful assessment tool in cases of suspected abdominal distension or fluid accumulation. However, in the context of intussusception, the passage of a currant jelly-like stool is a more critical indicator of the condition. While measuring abdominal girth can provide additional information, it is not the most appropriate immediate action in this scenario.

Choice B reason:

Notifying the practitioner as this is not a typical finding is incorrect because the passage of currant jelly-like stool is a classic symptom of intussusception. This stool appearance results from a mixture of mucus and blood due to the telescoping of the intestine, which compromises blood flow and causes ischemia. Therefore, this finding should be documented as expected rather than considered atypical.

Choice C reason:

Documenting the passage of currant jelly-like stool as an expected finding and planning to move forward with the procedure is the most appropriate action. This stool appearance is a hallmark sign of intussusception, indicating that the condition is present and needs to be addressed promptly. The radiologist-guided pneumoenema is a diagnostic and therapeutic procedure that can help resolve the intussusception by using air pressure to unfold the telescoped segment of the intestine. Therefore, documenting this finding and proceeding with the planned intervention is crucial.

Choice D reason:

Auscultating for bowel sounds is a standard nursing assessment technique to evaluate gastrointestinal function. However, in the context of intussusception, the passage of currant jelly-like stool is a more definitive indicator of the condition. While auscultating for bowel sounds can provide additional information about bowel activity, it is not the most appropriate immediate action in this scenario.

Choice A: Apply antibiotic ointment to pin sites daily

Applying antibiotic ointment to pin sites daily is not relevant in the context of Buck extension traction. Buck’s traction is a type of skin traction, which does not involve pins or pin sites. Pin site care is typically associated with skeletal traction, where pins are inserted directly into the bone.

Choice B: Remove the traction boot during baths

Removing the traction boot during baths is not recommended. The traction boot should remain in place to maintain the alignment and immobilization of the affected limb. Removing the boot can disrupt the traction and potentially worsen the condition.

Choice C: Assess neurovascular status every 2 hours

Assessing neurovascular status every 2 hours is crucial for a child in Buck extension traction. This involves checking the circulation, sensation, and movement of the affected limb to ensure there are no complications such as nerve damage or impaired blood flow. Regular neurovascular assessments help in early detection and prevention of complications.

Choice D: Reduce fluid intake

Reducing fluid intake is not a standard care practice for a child in Buck extension traction. Adequate hydration is important for overall health and recovery. There is no indication that fluid intake should be restricted in this scenario.