QOD 6: Spica Cast on a Patient with Hip Dislocation (Muskuloskeletal/Basic Care and Comfort)

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Question:

A nurse is working with a family whose child was born with developmental dislocation of the hip. The physician has applied a spica cast to the child. Which statement from the nurse best describes this type of cast to the child’s family?

Answer:

D.  “This cast will keep the hip joints in the correct position so they can heal.”

Rationale: 

A spica cast is a plaster cast applied to the hips and legs of a child born with developmental dislocation of the hip-a condition in which a baby is born with one or both hip joints dislocated. The cast places the hip joints into their sockets and keeps them in place for a period of time while they heal. The parents should be taught that the cast is in place for the specified period of time and it is not removed for elimination; some children are delayed in walking after the cast is removed, but they usually catch up to their peers.

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