The nurse is assisting the health care provider (HCP) in examining an infant with suspected congenital hip dysplasia.
What sign should the nurse expect to find during the assessment?

Clear fluid oozing out of the pilonidal sinus.

Positive hip click bilaterally.

Erythema toxicum on the torso.

Limited abduction of the affected hip.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Clear fluid oozing from a pilonidal sinus is unrelated to congenital hip dysplasia and more associated with other conditions like pilonidal cysts.

Choice B rationale

A positive hip click can indicate hip instability but is not definitive for congenital hip dysplasia.

Choice C rationale

Erythema toxicum is a benign, self-limiting skin condition and does not relate to hip dysplasia.

Choice D rationale

Limited abduction of the hip is a key sign of congenital hip dysplasia, indicating restricted movement due to abnormal hip joint development. .

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Correct Answer is {"A":{"answers":"A,C"},"B":{"answers":"A,C"},"C":{"answers":"A,C"},"D":{"answers":"B"},"E":{"answers":"C"}}

Explanation

Jitteriness: This can be a sign of hypoglycemia in a newborn, and it may also be seen in Neonatal Abstinence Syndrome (NAS) due to withdrawal symptoms.
Lethargy: Lethargy is common in hypoglycemia (due to low energy reserves) and can also be seen in Neonatal Abstinence Syndrome due to withdrawal effects.
Poor Feeding: Hypoglycemia may cause poor feeding due to the lack of energy, and Neonatal Abstinence Syndrome can cause feeding difficulties because of withdrawal symptoms.
Jaundice: Jaundice is a hallmark sign of Neonatal Jaundice, typically due to elevated bilirubin levels.
Loose Stool: Loose stool can be a sign of Neonatal Abstinence Syndrome, as gastrointestinal disturbances are common in withdrawal. It is not typically associated with hypoglycemia or neonatal jaundice.

A. Advise the mother to stop nursing and offer formula. B. Teach the mother to pump her breast. C. Advise the mother to discuss this with the newborn's pediatrician. D. Teach about newborn sleep and hunger patterns.

Correct Answer is D

Explanation

Choice A rationale

It is important to encourage breastfeeding rather than offering formula, especially if the mother wishes to breastfeed.

Choice B rationale

Pumping is not necessary at this time as the baby is just 4 hours old and establishing feeding patterns.

Choice C rationale

Consulting the pediatrician is not immediately necessary for this situation.

Choice D rationale

Teaching the mother about newborn sleep and hunger patterns is appropriate, as newborns often have irregular feeding schedules in the first few days. .

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The nurse is assisting the health care provider (HCP) in examining an infant with suspected congenital hip dysplasia.What sign should the nurse expect to find during the assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn who is 56 hours old in the neonatal unit. Below are the exhibits. Exhibits A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications? Each finding may support more than one disease process.

Correct Answer is {"A":{"answers":"A,C"},"B":{"answers":"A,C"},"C":{"answers":"A,C"},"D":{"answers":"B"},"E":{"answers":"C"}}

Explanation

A newborn is reported to have breastfed very well during the first successful feeding after birth.The baby is now 4 hours old and has not had a second feeding.The nurse would:

Correct Answer is D

Explanation

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A nurse is providing teaching about newborn care to a client.Which statement indicates the need for further teaching?

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The nurse is assisting the health care provider (HCP) in examining an infant with suspected congenital hip dysplasia.
What sign should the nurse expect to find during the assessment?