The nurse is positioning an infant who has an uncorrected congenital hip dislocation. What would be the proper position in which to place this infant with regard to the congenital problem?
1. Prone with the hips slightly elevated
2. On the left side with pillow between legs.
3. Hips abducted and feet in a neutral position.
4. Hips abducted and feet extended.
Answer: 3
The nurse should position the infant with the hips abducted and feet in neutral position. This will maintain proper alignment of the hips and lower extremities. This can be achieved initially with the infant placed on his or her back and a pillow wedged between the legs. Adduction may displace the head of the femur and lead to hip dislocation. (Hockenberry, Wilson, 9 ed., p. 422.)
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