The nurse is teaching about congenital clubfoot in infants. The nurse evaluates the teaching as successful when the parent states that clubfoot is best treated:
immediately after diagnosis.
at age 4-6 months.
prior to walking (9-12 months).
after walking is established (15-18 months).
The Correct Answer is A
Rationale:
A. Treatment for congenital clubfoot should begin as soon as possible after diagnosis, often within the first few weeks of life. Early intervention improves the likelihood of successful correction with non-surgical methods like casting (Ponseti method).
B. Waiting until 4–6 months delays treatment, which can lead to worsening deformity and more complex interventions.
C. While treatment should be completed before walking begins, starting at 9–12 months is too late to begin initial correction.
D. Treating after walking is established is not ideal and often requires more invasive procedures due to fixed deformity.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Heavy clothing can lead to overheating and sweating, which may worsen eczema symptoms.
B. Cold air can dry out the skin, aggravating eczema.
C. Unless a specific food allergy is identified, there's no need to restrict common allergens like eggs, nuts, or avocado.
D. Applying warm (not hot) lotion or moisturizer immediately after a bath helps lock in moisture, reducing dryness and irritation associated with eczema.
Correct Answer is B
Explanation
Rationale:
A. Koplik sign refers to small white spots on the buccal mucosa, indicative of measles—not muscular dystrophy.
B. Gowers' sign is a classic indicator of muscular dystrophy, especially Duchenne muscular dystrophy. It describes the maneuver where a child uses their hands and arms to "walk" up their thighs to stand up due to proximal muscle weakness.
C. Kernig's sign is used to detect meningeal irritation in meningitis, not related to muscle weakness.
D. McBurney's sign refers to point tenderness in appendicitis, unrelated to muscular dystrophy.
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