Practice Question
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?
Answer Choices:
Correct Answer:
"Your baby's foot is twisted to the side due to shortened tendons."
Rationale:
🟣 Clubfoot (talipes equinovarus) is a congenital deformity driven largely by shortened tendons/soft tissues that pull the foot into an abnormal position.
🟣 The typical position includes inversion and adduction of the forefoot with the heel turned inward (varus) and the ankle pointed downward (equinus).
🟣 Explaining shortened tendons helps the caregiver understand why treatment focuses on gradual stretching and repositioning rather than “waiting it out.”
🟣 It supports adherence to serial casting (Ponseti method) and later bracing, which work by slowly lengthening tight tissues and maintaining corrected alignment.
🟣 This teaching is also reassuring because it highlights that early intervention improves function and mobility and reduces long-term deformity.
“A bone development abnormality causes the foot to form incorrectly.”
🟣 Clubfoot is primarily related to soft tissue tightening and abnormal positioning, not a primary bone growth defect.
🟣 Bone alignment is affected secondarily, but the key driver is tight tendons/ligaments.
“Clubfoot is caused by a dislocated joint that causes the foot to turn inward.”
🟣 Clubfoot involves multiple joints and soft tissues, not a single “dislocated joint.”
🟣 Calling it a dislocation oversimplifies the condition and misguides expectations about treatment.
“Poor blood supply to the bone results in some of the tissue dying and affecting foot shape.”
🟣 This describes avascular necrosis, which is not the cause of congenital clubfoot.
🟣 Clubfoot is a structural congenital deformity, managed with casting and bracing rather than restoring blood supply.
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This question is from Custom Brachwite Pediatric Final exam Nurs223 Section II which contains 69 questions.
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From Exam
Custom Brachwite Pediatric Final exam Nurs223 Section II
69 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 4