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
symptoms include:
(a)
High-pitched cry.
(b) Arching of the back.
(c)
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.
(4)
Minimize external stimuli.
(5)
Feed frequently.
(6)
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.
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