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    Ati paediatrics benchmark proctored exam

    A nurse is planning care for an infant who has congenital talipes equinovarus. Which of the following referrals should the nurse expect the provider to make?

    Explanation & Rationale

    Choice A rationale Congenital talipes equinovarus is a musculoskeletal condition affecting the foot and ankle, specifically involving the bones, ligaments, and tendons. It does not involve the muscles or nerves related to speech production, swallowing, or oral motor function. Therefore, a referral to a speech therapist would not be an appropriate intervention. Choice B rationale Congenital talipes equinovarus is a structural deformity of the foot and ankle, not a metabolic or nutritional disorder. The condition is not caused by or corrected through dietary changes. Therefore, a referral to a nutrition counselor is irrelevant to the management and treatment of this congenital anomaly. Choice C rationale Congenital talipes equinovarus, commonly known as clubfoot, is a congenital deformity of the foot and ankle. The condition requires specialized treatment to correct the structural abnormalities. An orthopedic specialist, who focuses on the musculoskeletal system, is the most appropriate provider to manage the serial casting, bracing, or potential surgical interventions needed for correction. Choice D rationale Congenital talipes equinovarus is a musculoskeletal condition localized to the lower extremities. It does not affect the lungs, airways, or any aspect of respiratory function. Therefore, a respiratory therapist, who specializes in cardiopulmonary health, would not be involved in the care plan for this specific diagnosis.

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