The parent of a newborn is concerned about the possibility of the child developing hip dysplasia. Which intervention should the nurse encourage to help reduce the risk in this newborn?

Question

The parent of a newborn is concerned about the possibility of the child developing hip dysplasia.  Which intervention should the nurse encourage to help reduce the risk in this newborn?

Quizplus · Accepted Answer

11ecbb05_cae6_da94_b433_5d01284c3817_MD0009_00 Developmental dysplasia of the hip (DDH) is a range of various hip abnormalities that may be present at birth or develop during the first few years of life. There are many risk factors, including breech birth, large infant size, and family history. Although all cases cannot be prevented, several interventions have been shown to help reduce the risk of DDH development. Key measures include: Proper swaddling technique - infants should be swaddled with their hips bent up (flexion) and out (abduction), allowing room for hip movement (Option C)Choosing infant carriers or car seats with wide bases - infant seats should allow for proper hip positioning in an abducted mannerAvoiding any positioning device, seat, or carrier that causes hip extension with the knees straight and together Proper swaddling technique - infants should be swaddled with their hips bent up (flexion) and out (abduction), allowing room for hip movement (Option C) Proper swaddling technique - infants should be swaddled with their hips bent up (flexion) and out (abduction), allowing room for hip movement (Option C) Choosing infant carriers or car seats with wide bases - infant seats should allow for proper hip positioning in an abducted manner Choosing infant carriers or car seats with wide bases - infant seats should allow for proper hip positioning in an abducted manner Avoiding any positioning device, seat, or carrier that causes hip extension with the knees straight and together Avoiding any positioning device, seat, or carrier that causes hip extension with the knees straight and together (Option A) Narrow infant carriers prevent proper hip abduction, putting a strain on the hip ligaments and possibly leading to DDH. (Option B) Double/triple diapering is no longer recommended as a preventive measure for DDH. This practice can cause extension of the hip, leading to abnormal development. (Option D) Infant swings, bouncers, wraps, and other similar items can cause the legs to be positioned straight and together, which can increase the risk for DDH. Educational objective: DDH is a range of hip abnormalities that may be present at birth or develop in early childhood. Preventive measures include proper swaddling with hips bent up and out, and avoiding seats or carriers that hold the legs straight and together.

The Parent of a Newborn Is Concerned About the Possibility