An infant born via cesarean section because of a breech presentation is diagnosed with bilateral congenital hip dysplasia. The primary nursing intervention directed toward this diagnosis is:
1. Assessing the infant frequently to determine abduction of the thighs
2. Maintaining the infant in the position of continuous abduction of both hips
3. Educating the parents about the importance of positioning the infant so that the head of the femurs are in alignment with the hip sockets
4. Providing pain management so that the infant is comfortable in the therapeutic position required
ANSWER
ANS: 2
Maintenance of continuous abduction of the thigh so that the head of the femur presses into the center of the acetabulum is critical in the care and treatment of this infant. Although the other options are appropriate, they are not primary interventions in this scenario.
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