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 B

Explanation

Choice A rationale

Herbal tea is not scientifically proven to reduce breast engorgement and may not be effective.

Choice B rationale

Warm compresses applied before feeding help to soften the breasts, making it easier for the baby to latch and reducing engorgement.

Choice C rationale

Letting the baby drain one breast completely at each feeding can help prevent engorgement but is not specifically for managing existing engorgement.

Choice D rationale

Feeding every 3-4 hours may not be frequent enough to prevent engorgement, especially in the early days of breastfeeding.

A. Large ecchymotic caput succedaneum noted on posterior scalp. B. Yellow discoloration noted of sclera and oral mucosa. C. Fontanel level and soft. D. Respiratory rate 78/min.

Correct Answer is ["A","B","D"]

Explanation

Choice A rationale

A large ecchymotic caput succedaneum, which is swelling of the scalp due to birth trauma, usually resolves within a few days. However, its large size and presence of bruising should be monitored for potential complications such as jaundice.

Choice B rationale

Yellow discoloration of the sclera and oral mucosa indicates jaundice, which can be due to hyperbilirubinemia. This condition requires follow-up and possible treatment to prevent severe complications.

Choice C rationale

A level and soft fontanel in a newborn is a normal finding. It does not require follow-up as it indicates that intracranial pressure is normal.

Choice D rationale

A respiratory rate of 78/min in a newborn is significantly higher than the normal range (30-60/min). This finding requires follow-up to assess for respiratory distress or other underlying conditions.

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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

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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?