The nurse is examining a 3-month-old infant.While the nurse holds his or her thumbs on the infant's inner mid thighs and the fingers on the outside of the infant's hips,touching the greater trochanter,the nurse adducts the legs until the his or her thumbs touch and then abducts the legs until the infant's knees touch the table.The nurse does not notice any "clunking" sounds and is confident to record a:

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Normally,this maneuver feels smooth and has no sound.With a positive Ortolani sign,however,the nurse will feel and hear a "clunk," as the head of the femur pops back into place.A positive Ortolani sign also reflects hip instability.The Allis test also tests for hip dislocation but is performed by comparing leg lengths.

The Nurse Is Examining a 3-Month-Old Infant