Question

A child is born with clubfoot (congenital talipes equinovarus). The child later receives a cast on the affected leg to correct the problem. Which measure should the nurse mention to the mother to ensure good circulation in the affected leg?

a. Check the infant's toes for coldness or blueness.
b. Change the infant's diapers frequently.
c. Perform passive foot exercises.
d. Apply Denis Browne splints to the infant each night.

Answer 1

The nurse should recommend that the mother checks the infant's toes for coldness or blueness to ensure good circulation in the casted leg. so, option a is the correct answer.

Step-by-step explanation:

To ensure good circulation in the leg of a child with clubfoot who has received a cast to correct the condition, the nurse should advise the mother to check the infant's toes for coldness or blueness. This measure helps to monitor for signs of impaired circulation, which is a potential complication of casting. The toes should remain warm to the touch and of a normal color, indicating that blood is flowing adequately to the distal extremities. It is important to keep a lookout for any signs of circulation issues, as they may indicate that the cast is too tight or that there is another problem that needs medical attention.

Perform passive foot exercises to ensure good circulation in the affected leg.

To ensure good circulation in the affected leg of a child with clubfoot, the nurse should mention the measure of performing passive foot exercises to the mother. These exercises help promote blood flow and prevent circulation problems in the affected leg. The mother can do gentle movements and stretches with the baby's foot, as advised by healthcare professionals.