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26 Cards in this Set

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