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    ATI RN 302 Paediatrics proctored Exam

    A nurse is providing teaching to the caregiver of an infant born with congenital talipes equinovarus (clubfoot). Which of the following statements should the nurse include in their teaching?

    Explanation & Rationale

    Choice A reason: Clubfoot is not primarily a bone development abnormality. It involves shortened tendons and ligaments, causing foot deformity. While bones may adapt to the abnormal positioning, the primary defect lies in soft tissue contractures, not bone formation, making this statement inaccurate. Choice B reason: Clubfoot (talipes equinovarus) results from shortened tendons and ligaments, twisting the foot inward and downward. This congenital condition involves tight Achilles tendons and other soft tissues, causing the characteristic deformity, correctable with casting or surgery, making this the accurate explanation. Choice C reason: Poor blood supply is not the cause of clubfoot. The condition stems from soft tissue contractures, not vascular insufficiency leading to tissue death. Bone necrosis is unrelated to this congenital deformity, which involves musculoskeletal misalignment, making this statement incorrect. Choice D reason: Clubfoot is not caused by a dislocated joint. It results from shortened tendons and ligaments, not joint dislocation. The foot’s inward turn is due to soft tissue contractures, not a displaced joint, distinguishing it from other orthopedic conditions like hip dysplasia.

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