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.
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. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale
Apgar score assesses the newborn's health at 1 and 5 minutes post-delivery. A score of 8 at 1 minute and 10 at 5 minutes indicates good initial adaptation to extrauterine life.
Choice B rationale
Suctioning the mouth with a bulb syringe helps clear the airway of any meconium, which can be crucial to prevent respiratory complications.
Choice C rationale
Absence of visible meconium in the airway reduces the risk of meconium aspiration syndrome, a serious condition affecting the newborn's respiratory system.
Choice D rationale
Antibiotics are not routinely started after birth for all infants; they are used if there is a high risk or evidence of infection.
Correct Answer is A
Explanation
Choice A rationale
Asking if the client has considered harming her newborn is a priority to assess for potential postpartum depression or psychosis, which require immediate intervention. .
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