NURS411 Muscularskeletal ,
Neuromuscular Exam Study Guide
congenital club foot - Answer -resembles a golf club
-serial casting or surgery to correct it
congenital MS conditions - Answer -congenital clubfoot
-osteogenesis imperfecta
-developmental dysplasia of the hip (DDH)
congenital clubfoot consists of - Answer talipes varus
talipes varus - Answer inversion of the heel
another sign of congenital clubfoot - Answer talipes equinus
talipes equinus - Answer plantarflexion of the foot --> the heel is raised and would not
strike the ground in a standing position
what is forefoot adduction with supination - Answer the forefoot is inverted and turned
slightly upward
clubfoot treatment goal - Answer achievement of a functional foot
clubfoot treatment - Answer -early treatment
-weekly manipulation with serial cast changes about 2 weeks
-surgical intervention of soft tissue is sometimes necessary
complications of clubfoot - Answer -residual deformity
-rocker bottom foot
-awkward gait
nursing management for clubfoot - Answer -nuerovascular assessment
-cast care
-emotional support
osteigenesis imperfecta - Answer genetic bone disorder with resulting fragile bones
what care is needed for osteogensis imperfecta - Answer -supportive care and injury
prevention
, -fracture care
-strengthen bones
-pain control
-encourage independence
developmental dysplasia of the hip - Answer the head of the femur is not properly
situated in the acetabulum or hip socket of the pelvis
presentation of DDH - Answer -decreased abduction
-unequal skin folds
-barlows sign
-ortolani sign
-galeazzi sign
barlows sign - Answer femoral head can be felt as it slips out onto the posterior lip of
acetabulum
ortolanis sign - Answer click when abducting hips
galeazzis sign - Answer knee height asymmetry
DDH management 0 - 6 months - Answer pavlik harness for abduction of the hip
age 6 - 24 months DDH management - Answer traction and cast immobilization
older child management DDH - Answer operative reduction, tenotomy, osteotomy
nursing care for DDH - Answer -daily care
-clothing under the harness
-skin care
-neurovascular changes
-positioning and transportation
acquired disorders - Answer -osteomyelitis
-idiopathic scoliosis
-juvenile idiopathis arthritis
osteomyelitis - Answer infection / inflammation of the bony tissue
osteomyelitis diagnosis - Answer bone scan
Neuromuscular Exam Study Guide
congenital club foot - Answer -resembles a golf club
-serial casting or surgery to correct it
congenital MS conditions - Answer -congenital clubfoot
-osteogenesis imperfecta
-developmental dysplasia of the hip (DDH)
congenital clubfoot consists of - Answer talipes varus
talipes varus - Answer inversion of the heel
another sign of congenital clubfoot - Answer talipes equinus
talipes equinus - Answer plantarflexion of the foot --> the heel is raised and would not
strike the ground in a standing position
what is forefoot adduction with supination - Answer the forefoot is inverted and turned
slightly upward
clubfoot treatment goal - Answer achievement of a functional foot
clubfoot treatment - Answer -early treatment
-weekly manipulation with serial cast changes about 2 weeks
-surgical intervention of soft tissue is sometimes necessary
complications of clubfoot - Answer -residual deformity
-rocker bottom foot
-awkward gait
nursing management for clubfoot - Answer -nuerovascular assessment
-cast care
-emotional support
osteigenesis imperfecta - Answer genetic bone disorder with resulting fragile bones
what care is needed for osteogensis imperfecta - Answer -supportive care and injury
prevention
, -fracture care
-strengthen bones
-pain control
-encourage independence
developmental dysplasia of the hip - Answer the head of the femur is not properly
situated in the acetabulum or hip socket of the pelvis
presentation of DDH - Answer -decreased abduction
-unequal skin folds
-barlows sign
-ortolani sign
-galeazzi sign
barlows sign - Answer femoral head can be felt as it slips out onto the posterior lip of
acetabulum
ortolanis sign - Answer click when abducting hips
galeazzis sign - Answer knee height asymmetry
DDH management 0 - 6 months - Answer pavlik harness for abduction of the hip
age 6 - 24 months DDH management - Answer traction and cast immobilization
older child management DDH - Answer operative reduction, tenotomy, osteotomy
nursing care for DDH - Answer -daily care
-clothing under the harness
-skin care
-neurovascular changes
-positioning and transportation
acquired disorders - Answer -osteomyelitis
-idiopathic scoliosis
-juvenile idiopathis arthritis
osteomyelitis - Answer infection / inflammation of the bony tissue
osteomyelitis diagnosis - Answer bone scan
