Congenital Clubfoot

A nurse is assessing a newborn with suspected congenital clubfoot (talipes equinovarus). Which assessment finding would be most characteristic of this condition?

1 The foot is turned outward and upward with the heel pointing down
2 The foot appears normal in position but lacks full range of motion
3 The foot is turned inward and downward with the heel elevated ✓ 정답
4 The foot demonstrates excessive flexibility with hypermobility of joints

해설

Congenital clubfoot is characterized by the foot turned inward and downward with the heel elevated, resembling a golf club. Other options describe opposite deformities or unrelated findings.

같은 주제 다음 문제A nurse is assessing a newborn diagnosed with congenital clubfoot (talipes equinovarus). W…이 문제가 수록된 문제집[개념+기출] 엔클렉스(NCLEX), 이거 하나면 됩니다69,000원

Understanding Congenital Clubfoot (Talipes Equinovarus)

To identify the most characteristic assessment finding for congenital clubfoot, it is essential to understand the specific anatomical components of the deformity. The term talipes equinovarus itself describes the position of the foot and ankle. "Tali-" refers to the ankle, "pes" refers to the foot, "equino-" indicates a plantarflexed position resembling a horse's hoof, and "varus" indicates an inversion or turning inward of the heel and sole. Therefore, the classic presentation is a rigid deformity where the foot is fixed in a position of plantarflexion and inversion .

When you assess a newborn with this condition, you will observe that the foot is turned inward and downward. The heel is elevated and drawn up, while the forefoot is adducted and supinated. This is a structural deformity, meaning the foot cannot be passively manipulated into a normal anatomical position, distinguishing it from simple positional issues . The deformity can present in varying degrees of severity and may be unilateral or bilateral, with studies indicating a high rate of bilateral involvement . Your assessment should also include a thorough examination for other anomalies, as the presence of associated conditions significantly impacts the prognosis and management of the clubfoot [1, 3].

Analysis of the Answer Choices

The correct answer is option 3, which accurately describes the equinovarus position: the foot is turned inward and downward with the heel elevated.

- Option 1 describes a calcaneovalgus deformity, where the foot is dorsiflexed and everted. This is a different positional deformity that is generally more flexible and has a better prognosis.
- Option 2 is incorrect because in true congenital clubfoot, the foot does not appear normal in position. It is visibly deformed, and the lack of full range of motion is due to a fixed, rigid malalignment, not just a limitation in an otherwise normal-appearing foot.
- Option 4 describes joint hypermobility, which is the opposite of the rigidity found in clubfoot. The affected foot in talipes equinovarus is characteristically stiff and resistant to passive correction due to contracted soft tissues and abnormal joint relationships .

A focused neurovascular and musculoskeletal assessment is critical. You should evaluate the severity of the deformity, check for skin creases on the medial and posterior aspects of the foot, and assess for the presence of a deep heel crease, all of which indicate rigidity. Furthermore, your assessment must extend beyond the foot itself, as clubfoot can be an isolated finding or part of a syndromic condition with other dysmorphic features and systemic anomalies [2, 3].

NCLEX Question Bank 엔클렉스 3,445 문제 · 로그인 없이 바로 볼 수 있어요

마이메르시로 국가고시 완벽 대비

기출문제와 상세 해설을 무료로. 내 약점을 분석하고 진도를 관리하며 더 똑똑하게 공부하세요.

무료로 시작하기

App Store Google Play

학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.

이 문제가 수록된 문제집 [개념+기출] 엔클렉스(NCLEX), 이거 하나면 됩니다 문제집 3,445문제 · 69,000원

문제집 보기 다음 문제

같은 단원 문제

마이메르시로 국가고시 완벽 대비

기출문제와 상세 해설을 무료로. 내 약점을 분석하고 진도를 관리하며 더 똑똑하게 공부하세요.

무료로 시작하기

다음 문제 무료로 시작하기

성장을 멈추지 마세요

A nurse is assessing a newborn with suspected congenital clubfoot (talipes equinovarus). Which assessment finding would be most characteristic of this condition?

마이메르시로 국가고시 완벽 대비