Question

While examining a newborn, the nurse notes uneven skin folds on the buttocks and a click when performing the Ortolani maneuver. The nurse recognizes these findings as a sign that the newborn probably has:

a. Polydactyly.
b. Clubfoot.
c. Hip dysplasia.
d. Webbing

Answer 1

The nurse's observation of asymmetrical buttock folds and a click during the Ortolani maneuver suggests the newborn likely has hip dysplasia, a malformation of the hip joint.

Step-by-step explanation:

The findings of uneven skin folds on the buttocks and a "click" noise when performing the Ortolani maneuver are clinical indicators often associated with hip dysplasia in newborns.

This condition, also known as developmental dysplasia of the hip (DDH), involves abnormal development of the hip joint and can lead to instability or dislocation of the hip.

While polydactyly involves extra fingers or toes, clubfoot is a congenital deformity of the foot and ankle that makes the foot twist inward, and webbing involves skin being joined between digits or limbs, the clues provided by the nurse's examination are specific to hip dysplasia.

It's crucial to catch this condition early in infants for appropriate management and to prevent future complications such as pain or altered walking ability.