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When assessing a newborn with suspected developmental dysplasia of the hip (DDH), which of the following would you expect to find?

Asymmetrical gluteal folds

Positive Babinski test

One-sided limp

Positive Kernig sign

Answer and Explanation

The Correct Answer is A

Choice A reason: Asymmetrical gluteal folds may indicate DDH due to uneven positioning of the hips.

Choice B reason: A positive Babinski test is normal in infants and is not specifically associated with DDH.

Choice C reason: A one-sided limp is not observable in newborns, as they are not yet walking.

Choice D reason: A positive Kernig sign is indicative of meningitis, not DDH, and is not relevant to the assessment of hip development.

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Correct Answer is C

Explanation

Choice A reason: Keeping alarm levels low is important to reduce stress and promote a healing environment, but it is not the most impactful intervention for personalized care.

Choice B reason: Dimming the lights at night helps maintain a normal sleep-wake cycle, which is beneficial but not as specific to the client's individual needs as continuity of care.

Choice C reason: Having the same nurses care for the patient on consecutive days can provide consistency and build trust, which is especially important for a child in critical condition.

Choice D reason: While visits from school friends can be uplifting, they may not be feasible or appropriate for a client in critical condition in the PICU. The priority is ensuring stable and consistent care.

A. Keep suction equipment at bedside. B. Position the child upright for feedings. C. Feed slowly using specialized feeding bottles. D. Explain to the mother that breastfeeding will not be possible until after the repair.

Correct Answer is D

Explanation

Choice A reason: Keeping suction equipment at bedside is important to maintain airway patency and prevent aspiration.
Choice B reason: Positioning the child upright for feedings can help prevent aspiration and is a recommended practice.
Choice C reason: Feeding slowly using specialized feeding bottles can help the infant feed effectively and safely.
Choice D reason: This is the correct choice. Breastfeeding is often possible with the use of special techniques and should not be discouraged unless specifically contraindicated.

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When assessing a newborn with suspected developmental dysplasia of the hip (DDH), which of the following would you expect to find?

Nursing Test Bank

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