The following are the goals of antepartum care: 1  To evaluate the health status of the mother and the fetus. 2  To estimate the gestational age. 3  To identify the patient at risk for complications.  To anticipate problems before they occur and prevent them if possible.
ï· Question 13 2 out of 2 points What technique is performed at every infant examination during the first year of life to detect hip dislocation? Response Feedback: At every examination during an infant s first year of life, the Barlow-Ortolani maneuver is performed. This test involves stabilizing the pelvis and flexing one hip and knee to 90 degrees. It detects hip dislocation and is signified by a clicking noise with the maneuver.
- Discussion: - early dx by postnatal screening w/ Ortolani or Barlow's Test is essential to detect hip instability or dislocation; - strictly interpreted, the Ortolani sign is the palpable sensation of the gliding of the femoral head in and out of the acetabulum; Ortolani test identifies dislocated hip that can reduced in early weeks of life; - a positive test requires active treatment (see treatment in newborns); - if hip remains dislocated (for weeks), limitation of abduction becomes more consistent clinical finding.