Developmental dysplasia of the hip
the parents of a child with newly dx DDH ask the nurse why their child has this condition. The nurse explains that the majority of cases are caued by 1. Discolation 2. Subluxation 3. Acetabular dysplsia 4. Dislocation with fracture
2
which factor is most significant for an infant dx with DDH 1. The mothers activity during the 3rd trimester 2. A breech prsentaiton at birth 3. An ifnats serum calcium level at birth 4. An apgar score of 4 at 1 minute and 6 at 5 minuts
2
How should the femur be position in relationship to the acetabulum for a child with DDH 1. Anterior 2. Inferior 3. Posterior 4. Superior
1
which dx test would the nurse anticipate for the dx of suspected ddh 1. X ray 2. Positive ortolanis sign 3. Positive trendelenburg gain 4. Audible clicking with adduction
1
what can occur in untreated DDH. select all that apply 1. duck gait 2. pain 3. osteoarthritis in adulthood 4. ostepeorosis in adulthood 5. increased flexibility of the hip join in adulthood
1,2,3 due to abnormal hip joint function, the patients gait is stiff and waddling due to abnormal femoral head placement, the pt may experience pain and decreased flexibility in adulthood and osteoarthritis
Which interventions should the nurse include when developing a plan of care for a child who was placed in a hip spica cast 24 hours ago for hip dysplasia. Select all that apply 1. Turn the child at least every 2 hours 2. Keep the cast uncovered for 6 hours 3. Use regular fan to help with the drying process 4. Perform neurovascular chekcs once a shift 5. Elevate the lower body and extremities
1,3,5
which observation by the nurse indicates that the parent of a neonate with DDH understands the discharge teaching 1. The parent places a fodled towel between the infants legs 2. The infant is wearing three diapers 3. The infant is tightly swaddled in a blanket 4. Theifnant is placed in a prone psotion to sleep
2keeps the hips and knees flexed and the hips abducted
which complication involving the leg length should the nruse anticipate in a client with developmental dysplasia of the hip 1. Increased hip abduction 2. Increased leg length on the affected side 3. Decreased leg length on the affected side 4. No change in muscle length or leg length
3
which hip position should be avoided in an 8mo with DDH 1. Extension 2. Abduction 3. Internal rotation 4. External rotation
3
which would the nurse expect to assess on a 3wo infant with developmental dysplasia of the hip 1. excessive hip abduction 2. femoral lengthening of an affected leg 3. asymmetry of gluteal and thigh folds 4. pain when lying prone
3
which would the nurse assess in a 4wo infant who has DDH and is wearing a pavlik harness 1. diaper dermatitis 2. talipes equinovarus 3. leg shortening and limited abduction 4. pain
3 infant wearing pavlik harness is at risk of leg shortening on the affected side and limited abduction. the straps on the harness may need adjustment and lengthening frequently
a nurse is caring for an infant with suspected DDH. Which info should the nruse give the parents about the dx testing 1. A dx cant be confirmed until the child begins to walk 2. Dx testing is performed at 6months if the dysplasia hasn't resolved by then 3. A radiopaque dye will be injected into the spine 4. An x ray will confirm the diagnosis
4
a nurse recognizes that the parent of a child with DDH reuires additional teaching when they place their child in a positon that encourages 1. Hip abduction 2. Knee extension 3. External rotation 4. Internal rotation
4
which should the nurse stress to the parents of an infant in a pavlik harness for treatment of DDH 1. put socks on over the foot pieces of the harness to help stablize it 2. use lotions or powder on the skin to prevent rubbing of straps 3. remove harness during diaper changes for ease of cleaning diaper area 4. check under the straps at least 2-3x/day for red areas
4 to prevent skin breakdown