Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
26 Cards in this Set
- Front
- Back
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.
|