The nurse is teaching about congenital clubfoot in infants. The nurse evaluates the teaching as successful when the parent states that clubfoot is best treated when?

Correct Answer: A

Rationale: Congenital clubfoot is best treated when started immediately after diagnosis. Early intervention and treatment are crucial for better outcomes in correcting clubfoot deformities. Tendons and ligaments are more flexible in infants, making it easier to manipulate and correct the foot. Starting treatment as early as possible can help prevent long-term complications and improve the child's ability to walk normally. Therapy may involve stretching exercises, casting, or surgery, depending on the severity of the condition. Therefore, early intervention is key in the successful management of congenital clubfoot in infants.

Correct Answer: B

Rationale: Erythrocyte Sedimentation Rate (ESR) is a non-specific marker for inflammation and can be elevated in conditions like rheumatic fever. A decrease in ESR suggests a reduction in the inflammatory response in the body, indicating an improvement in the condition. While the other parameters (WBC count, ASOT, and hemoglobin level) may be affected in rheumatic fever, a decrease in ESR is a more direct indicator of improvement in the inflammatory process associated with the disease.

Correct Answer: C

Rationale: The diagnosis of congenital heart disease is most commonly done through an echocardiogram, which is a non-invasive test that uses sound waves to create images of the heart's structure and function. This imaging technique allows healthcare providers to visualize any abnormalities in the heart's structure and how it is functioning. While cardiac catheterization and chest x-ray with ECG can also provide valuable information, an echocardiogram is the primary diagnostic tool for identifying congenital heart defects due to its accuracy, safety, and non-invasiveness.

Correct Answer: C

Rationale: The suture separating the parietal bones at the top center of a newborn's head is called the sagittal suture. This suture runs along the top of the skull from front to back, connecting the two parietal bones. It is one of the major cranial sutures that allows for the flexibility and growth of the skull during infancy and childhood.

Correct Answer: B

Rationale: The response should be based on the fact that newborns do not experience pain with circumcision. This is because newborns do not have a fully developed neurological system to perceive pain in the same way that adults do. Studies have shown that the pain response in newborns is limited, and they are able to quickly recover from minor procedures like circumcision without experiencing long-lasting pain. Therefore, the nurse should inform the parents that newborns do not experience pain with circumcision. This is important for providing accurate information and alleviating the concerns of the parents.