University:
Northwest College
Course:
VN420 | Child Health
Academic year:

2024
Views:

218

Pages:

2
Author:

Yesenia M.

POSITIONAL PLAGIOCEPHALY – PEDS “back to sleep” program recommends putting infants in a supine position to decrease r/o SIDS → due to this there has been an increase in positional plagiocephaly Positional plagiocephaly → refers to asymmetry in the head shape without fused sutures Results from gravitational force exertion on the developing cranium Torticollis- when neck muscles are too tight, have inadequate tone, or are shorter – CAN ALL CONTRIBUTE TO POSITIONAL PLAGIOCEPHALY Therapeutic management CHANGE THE INFANTS POSITION Encourage tummy time Avoid excess use of the car seat for infant seating outside of the automobile Some babies might need to use molding helmets Assessment Look at infants head from the top- note asymmetry ranging from flat on one side posteriorly to posterior flattening associated w anterior bulging. Assess neck ROM – to check for torticollis Palpate cranial sutures DX: skull XRAY or head CT Nursing management Decrease time spent w flattened area in the dependent position Position infant so that turning away from the affected side is necessary for them to view objects of interest Place on abdomen Place a rolled washcloth along the affected side of the head to discourage turning the head in that direction Hold the child upright over the shoulder at times throughout the day Rotate feeding positions Change direction the infant lies in the crib