Share this article on:

Addressing pediatric intoeing in primary care

doi: 10.1097/01.NPR.0000541504.71521.4d
CE Connection

For more than 278 additional continuing education articles related to Advanced Practice Nursing topics, go to NursingCenter.com/CE.

Earn CE credit online: Go to www.nursingcenter.com/CE/NP and receive a certificate within minutes.

Back to Top | Article Outline

INSTRUCTIONS Addressing pediatric intoeing in primary care

TEST INSTRUCTIONS

  • To take the test online, go to our secure website at www.nursingcenter.com/ce/NP. View instructions for taking the test online there.
  • If you prefer to submit your test by mail, record your answers in the test answer section of the CE enrollment form on page 36. You may make copies of the form.
  • Each question has only one correct answer. There is no minimum passing score required.
  • Complete the registration information and course evaluation. Mail the completed form and registration fee of $12.95 to: Lippincott Professional Development CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form. You will receive your CE certificate of earned contact hours and an answer key to review your results.
  • Registration deadline is June 5, 2020.
Back to Top | Article Outline

DISCOUNTS and CUSTOMER SERVICE

  • Send two or more tests in any nursing journal published by Lippincott Williams & Wilkins together and deduct $0.95 from the price of each test.
  • We also offer CE accounts for hospitals and other healthcare facilities on nursingcenter.com. Call 1-800-787-8985 for details.
Back to Top | Article Outline

PROVIDER ACCREDITATION

Lippincott Professional Development will award 1.0 contact hour for this continuing nursing education activity.

Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.0 contact hour. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida CE Broker #50-1223.

Addressing pediatric intoeing in primary care

Purpose: To provide information regarding differential diagnosis and treatment for pediatric intoeing. Learning Objectives Outcomes: After completing this continuing education activity, you should be able to: 1. Outline the physical exam for a child with intoeing. 2. Summarize differential diagnoses for intoeing. 3. Identify treatment for intoeing.

  1. Intoeing usually requires
    1. intense treatment.
    2. moderate therapy.
    3. no intervention.
  2. Research demonstrates that most children with intoeing should be managed by a
    1. primary care provider.
    2. orthopedist.
    3. physical therapist.
  3. Which of the following should guide intoeing management?
    1. radiographic studies
    2. history and physical
    3. parental concern
  4. When does lower extremity alignment begin?
    1. intrauterine
    2. birth to 1 year
    3. 1 to 3 years
  5. Metatarsus adductus is characterized by deviation in which direction?
    1. lateral
    2. medial
    3. inferior
  6. Metatarsus adductus is usually
    1. unilateral.
    2. bilateral.
    3. contralateral.
  7. Internal tibial torsion is internal rotation of the tibia along its
    1. medial axis.
    2. short axis.
    3. long axis.
  8. Up to how many degrees of femoral anteversion is normal at birth?
    1. 20 degrees
    2. 40 degrees
    3. 60 degrees
  9. A family history of intoeing should most likely lead to
    1. genetic testing.
    2. surgical correction.
    3. parental reassurance.
  10. It is best to assess for intoeing while children are
    1. supine, sitting, and standing.
    2. sitting, standing, and walking.
    3. standing, walking, and running.
  11. Increased distance between the knees when standing and a waddling gate are signs of
    1. bowleg.
    2. intoeing.
    3. hip dysplasia.
  12. Care for genu varum in a 2-year-old child most likely would include
    1. casting.
    2. monitoring.
    3. bracing.
  13. Which of the following may be suggested for metatarsus adductus?
    1. splints
    2. orthotics
    3. massages
  14. Children with femoral anteversion should sit in
    1. a comfortable position.
    2. an erect position.
    3. a cross-legged position.
  15. Educate patients' families on
    1. intoeing prevalence.
    2. increased risk of hip arthritis.
    3. activity restriction.
  16. Regarding children with intoeing and participation in school activities, explain to the families that children should engage in
    1. activities once intoeing starts to resolve.
    2. low-impact activities.
    3. all activities anytime.
  17. Which of the following in an 8-year-old child would indicate the need for an orthopedic referral?
    1. 20 degrees of femoral anteversion
    2. unilateral intoeing
    3. medial deviation of the metatarsals
  18. Which of the following would most likely require treatment?
    1. internal tibial torsion
    2. history of sibling intoeing
    3. limping
Figure

Figure

Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.