d. Nursing Care Considerations.
(1) Observe for withdrawal. It is still a controversial issue on whether the
FAS infant actually experiences alcohol withdrawal symptoms. However, withdrawal
(b) Arching of the back.
Apnea and bradycardia.
(d) Loose stools.
(2) Ask the physician if you can send a urine sample for a drug screen and
have a serum ETOH done if you suspect withdrawal.
(3) Measure the infant's abdominal circumference if distention exists. The
infant may require a nasogastric tube insertion.
Minimize external stimuli.
Help the mother deal with the situation.
11-12. CLUBFOOT (TALIPES EQUINOVARUS)
a. Clubfoot is one of the most common disorders of the lower extremities. It is
marked primarily by a deformed talus and shortened Achilles tendon that gives the foot
a characteristic club like appearance (see figure 11-7). Clubfoot may be associated
with other birth defects such as myelomeningocele.
Figure 11-7. Clubfoot.