The nurse is assessing the musculoskeletal status of a 4-year-old chil

The nurse is assessing the musculoskeletal status of a 4-year-old child. What findings should the nurse consider as being expected in this client?

1. Lordosis
2. Genu valgus
3. Genu varum
4. Pronation of the feet
5. Asymmetric leg abduction

ANSWER

Correct Answer: 1, 2

Rationale 1: Lordosis (swayback) is common in children before age 5.

Rationale 2: Genu valgus (knock-knee) is normal in preschool and early-school-age children.

Rationale 3: Genu varum (bowleg) is normal in children for about 1 year after beginning to walk.

Rationale 4: Pronation and “toeing in” of the feet are common in children between 12 and 30 months of age.

Rationale 5: Asymmetric abduction of the legs (Ortolani and Barlow tests) assesses for developmental dysplasia of the hip in infants.