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A nurse is assessing a newborn and evaluating for developmental dysplasia of the hip (DDH). What assessment finding would indicate DDH?

A.

Inwardly turned foot on the affected side.

B.

Gluteal folds are asymmetrical.

C.

Absence of Babinski sign.

D.

Absence of stepping reflex.

Answer and Explanation

The Correct Answer is B

Choice A rationale

 

An inwardly turned foot is not a sign of DDH. It may indicate a different condition such as clubfoot.

 

Choice B rationale

 

Asymmetrical gluteal folds are a common sign of developmental dysplasia of the hip (DDH). This occurs because the hip joint is not properly aligned, causing uneven skin folds.

 

Choice C rationale

 

The absence of the Babinski sign is not related to DDH. The Babinski sign is a reflex test used to assess neurological function.

 

Choice D rationale

 

The absence of the stepping reflex is not related to DDH. The stepping reflex is a normal newborn reflex that disappears after a few months.


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View Related questions

Correct Answer is ["A","B","C","E"]

Explanation

Choice A rationale

Sucking on their fingers is an early hunger cue in infants. It indicates that the baby is ready to feed.

Choice B rationale

Smacking their lips is another early hunger cue. It shows that the baby is thinking about feeding.

Choice C rationale

Extending their tongue is also an early hunger cue. It indicates that the baby is ready to latch onto the breast or bottle.

Choice D rationale

Crying is a late hunger cue. It is better to feed the baby before they start crying to make feeding easier.

Choice E rationale

Rooting is an early hunger cue. It involves the baby turning their head towards the breast or bottle, indicating they are ready to feed. .

Correct Answer is A

Explanation

Choice A rationale

Placing a baby on their back to sleep significantly reduces the risk of SIDS. This position helps keep the airway open and reduces the risk of suffocation.

Choice B rationale

There is no direct correlation between SIDS and the diphtheria, tetanus, and pertussis vaccines. Vaccines are safe and do not increase the risk of SIDS3.

Choice C rationale

SIDS rates have actually decreased over the last 10 years, largely due to public health campaigns promoting safe sleep practices.

Choice D rationale

Sleep apnea is not the main cause of SIDS. The exact cause of SIDS is unknown, but it is believed to be related to defects in the brain that control breathing and arousal from sleep.

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