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26 Cards in this Set
- Front
- Back
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What is Talipes (clubfoot)?
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It is a congenital deformity of the foot and ankle.
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There are many types of Talipes. What is the most type of clubfoot deformity most often seen?
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Talipes equinovarus.
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What is Talipes equinovarus?
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Foot is adducted and toes twisted inward/inverted.
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How often does Talipes (clubfoot) occur?
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1 in every 1000 live births and is twice as high in males as in females.
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Can Talipes (clubfoot) be unilateral, bilateral, or both?
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yes, can be either or both.
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What is the cause of Talipes (clubfoot)?
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The cause is idiopathic, but theories point to an inherited or environmental disorder.
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Talipes (clubfoot)is increased in what type of families?
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In families where there is already a child with the defect.
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When is Talipes (clubfoot)evident?
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It is evident at birth.
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What type of diagnostic test used to determine Talipes (clubfoot)?
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Examination, manipulation, and radiographs (x-rays).
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When should treatment begin?
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Shortly after birth. The earlier the treatment is begun, the more favorable the outcome.
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What type of treatment is used for Talipes (clubfoot)?
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Manipulation and the application of series of short leg casts (serial casting.
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Before placing the cast, what is done to the foot?
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Foot is gently manipulated into a more normal position and then casted to maintain the correction.
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When is the cast changed with those with Talipes (clubfoot)?
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Casts are changed weekly to allow for further manipulation and to acommodate the rapidly growing infant.
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Once the casting series is completed and the deformity is corrected, what will the foot(or feet) require?
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The foot (or feet) will require a combination of passive stretching exercises and corrective splints or shoes to prevent the deformity from recurring.
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While the child is wearing a cast, what should the nurse monitor?
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(CMS) circulation, motion, and stimulation.
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Once neonates or infants has been diagnosed with Talipes (clubfoot), what should the nurse do for the parents?
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Give support and education about Talipes (clubfoot).
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While educating the parents about Talipes (clubfoot), what else should the nurse encourage the parents to express?
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The nurse should encourage the parents to express their feeling.
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Before neonates are dischared with a cast, what should the nurse carefully inspect for?
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Inspect carefully for rough edges, which can irritate the skin.
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Neonates with casts should frequently observe the toes for what?
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The toes should be observed for coldness, pain, blueness, or edema, which, if presented, are reported to the physician immediately.
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At home, parents should find comfortable positions for what?
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Feeding, playing, and cuddling.
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How are neonates able to bathe while casting?
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Neonates are given sponge baths.
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During this time of limited activity, what should the parents provide for the neonate to encourage normal development?
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provide audio, visual, and tactile stimulation.
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The nurse is responsible to include what type of exercise for neonate with Talipes (clubfoot)as apart of his/her patient teaching?
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Passive stretching exercises with a return demonstration by the parent.
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How are parents taught to hold their infants with casting?
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Hold heel firmly and to stretch only the forefoot.
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What occurs when there is undue force on the heel while stretching the forefoot?
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The heel may produce valgous deformitity (twisted outward, away from midline)
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How many times is stretching performed a day?
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It is performed several times a day, parents may find it easier to remember to do the exercise if they are associated with a regular activity, such as diaper change or after feedings.
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