The nurse is caring for an infant with unilateral clubfoot. Which information should the nurse include in parent education about long-term outcomes?
Normal gait is not fully expected.
Growth and development will be delayed.
Heredity influences the outcome of clubfoot.
Correction will require serial casting
The Correct Answer is D
A. Normal gait can be expected with appropriate management and treatment for clubfoot. With early and effective intervention, many children with clubfoot can achieve a normal gait.
B. Growth and development are not typically delayed as a long-term outcome of clubfoot when it is appropriately managed. The goal of treatment is to achieve normal foot development and function.
C. While heredity can play a role in clubfoot, it is not typically a sole determinant of the outcome. The success of treatment primarily depends on the timeliness and effectiveness of the interventions.
D Correction will require serial casting.
Unilateral clubfoot is a congenital deformity of the foot that can often be effectively managed with non-surgical interventions. Serial casting is a common and successful approach used to gradually correct the deformity. Parents should be informed that serial casting is likely to be a part of the treatment plan for their child's clubfoot.
Therefore, it is essential to educate parents that correction of unilateral clubfoot will likely require serial casting and that with appropriate treatment, the child can achieve a normal gait and experience normal growth and development.
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Correct Answer is {"dropdown-group-1":"B"}
Explanation
Across the ventricular septum: This clarifies the location of the shunt, indicating that it occurs across the ventricular septum, leading to the mixing of oxygenated and deoxygenated blood.
So, the complete statement is: "Based on the child's diagnosis, he has mixed blood flow due to a left-to-right shunt across the ventricular septum."
Correct Answer is A
Explanation
Celiac disease is an autoimmune disorder in which individuals are unable to tolerate gluten, a protein found in wheat, barley, and rye. Therefore, foods containing wheat, barley, and rye should be avoided by individuals with celiac disease. The list of allowed foods should primarily consist of gluten-free options.
A. Rice is naturally gluten-free and is safe for individuals with celiac disease to consume.
B. Oats can be included in the diet of individuals with celiac disease, but they must be specifically labeled as "gluten-free oats." Regular oats can be cross-contaminated with gluten during processing, so it's important to choose certified gluten-free oats to avoid potential issues.
C. Rye contains gluten and should be avoided by individuals with celiac disease.
D. Barley contains gluten and should be avoided by individuals with celiac disease.
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