Maternal / Newborn Question #42


The nurse is caring for an infant with a hip spica cast. Which nursing actions will keep the cast free of urine and stool?


  1. Insert a foley catheter and rectal tube.
    • Rationale:
  2. Use intermittent catheterization on toileting schedule.
    • Rationale:
  3. Use a Bradford frame.
    • Rationale:
  4. Use a Denis Browne splint.
    • Rationale:



The correct selection is C. The Bradford frame helps urine and stool collection for infants or children with spica cast. Selection B & C are incorrect since catheterizing either indwelling or intermittent will predispose the infant to infection. Selection D is incorrect since the Denis Browne splint is for clubfoot, not spica cast.

Learning Outcomes

Test Taking Tip

Video Rationale