The nurse is examining a 3-month-old infant and performs the Ortolani manoeuvre.The nurse notes that the movements feel smooth and no sounds are produced.The nurse will document the findings as a:

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Normally, this manoeuvre 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 and warrants referral

The Nurse Is Examining a 3-Month-Old Infant and Performs the Ortolani