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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 D

Explanation

Choice A reason: While noting the frequency of drooling is important, it is not the most critical assessment.
Choice B reason: Observing the appearance of oral mucosa is less critical than assessing the ability to swallow.
Choice C reason: Assessing speech patterns is important but secondary to swallowing ability in terms of immediate safety.
Choice D reason: This is the correct choice. The ability to chew and swallow is crucial for preventing aspiration and maintaining nutrition.

A. An orogastric tube fails to pass at birth. B. The infant has a low birth weight. C. It is visually identified at the time of delivery. D. Dry mouth and nares, little to no oral secretions at delivery.

Correct Answer is A

Explanation

Choice A reason: This is the correct choice. If an orogastric tube fails to pass, it may indicate a blockage or abnormal connection, such as a tracheoesophageal fistula.
Choice B reason: Low birth weight can be associated with many conditions and is not specific to TEF.
Choice C reason: TEF is not typically visible without special imaging or procedures; it cannot be visually identified at delivery.
Choice D reason: Dry mouth and nares with little to no oral secretions could indicate other conditions and are not specific to TEF. TEF often presents with excessive oral secretions.

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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?

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