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    Ati N400 pediatric proctored exam 2

    A nurse is creating a plan of care for a fetus who has been diagnosed with clubfoot via ultrasound. Which of the following procedures should the nurse expect to include in the plan of care?

    Explanation & Rationale

    A. A series of casts will be made for the infant soon after birth. The Ponseti method, the gold standard for treating clubfoot, involves gentle manipulation of the foot and application of a series of plaster casts that are changed weekly. This treatment usually begins shortly after birth to take advantage of the newborn’s soft tissues and bones, which are more easily repositioned. B. An orthotic brace at 6 months of age is not the initial treatment. Bracing is used later in the treatment process after the foot has been corrected with casting to maintain alignment and prevent relapse. C. Surgery performed in utero is not a treatment option for clubfoot. In severe cases unresponsive to casting, surgery may be required after birth, but intrauterine correction is not standard practice. D. Monitoring and physical therapy alone are not sufficient to correct clubfoot. Without casting or surgical intervention, the deformity will persist and lead to long-term mobility issues.

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