The nurse is evaluating a parent's understanding of home care management for a 2-week-old client after initial cast placement for treatment of congenital clubfoot. Which of the following statements by the parent indicate a correct understanding? Select all that apply.

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11ecbb05_caeb_476b_b433_5518fb625c73_MD0009_00 Clubfoot (ie, talipes equinovarus) is a congenital bone deformity and soft tissue contracture manifested by one or both feet being turned inward. The health care provider typically begins management of the deformity soon after birth by manipulation and stretching of the affected foot and placing a long-leg cast. Weekly recasting over 5-8 weeks (ie, Ponseti method) is necessary to gradually reposition the foot (Option D). To maintain the correction after successful casting, the client commonly wears custom shoes secured to a bar brace. To prevent recurrence, long-term follow-up continues until the child attains skeletal maturity. The nurse should teach parents about cast care, which includes monitoring the client's circulation (eg, toes pink and warm) and keeping the cast dry during diapering and bathing to prevent skin irritation or infection (Options B and E). (Option A) Parents should continue to cradle and hold their infants to encourage bonding and attachment. (Option C) Parents should place infants to sleep in the supine position. Placing an infant on the stomach to sleep increases the risk for sudden infant death syndrome. Educational objective: Clients with clubfoot typically receive manipulation and stretching of the affected foot and serial casting soon after birth to correct the deformity. The nurse should instruct parents about cast care, which includes monitoring for adequate circulation (eg, toes pink and warm) and keeping the cast dry.

The Nurse Is Evaluating a Parent's Understanding of Home Care