A nurse is assessing a newborn who appears wasted, with peely, cracked, and leathery skin.

This presentation is consistent with:.

This presentation is consistent with a newborn who has been in the womb for longer than 42 weeks.Post-term newborns often have dry, peeling, loose skin and may appear abnormally thin.They may also have overgrown nails and large amount of hair on the head.

Choice A is wrong because preterm birth is associated with low birth weight, immature skin, and lanugo (fine hair) on the body.

Choice B is wrong because macrosomia is a condition where the newborn is significantly larger than average, usually due to maternal diabetes or obesity.

Choice C is wrong because hyperbilirubinemia is a condition where the newborn has high levels of bilirubin in the blood, causing jaundice (yellowing of the skin and eyes).

Hypoglycemia is a condition where the blood glucose level is too low, which can affect the brain and nervous system function.Hypoglycemia can cause symptoms such as hypotonia (low muscle tone), weak reflexes, and a weak cry in newborns.

These symptoms are due to the lack of energy supply to the muscles and nerves.

Choice B. Hyperbilirubinemia is wrong because it is a condition where the blood level of bilirubin, a waste product from red blood cell breakdown, is too high.

Hyperbilirubinemia can cause jaundice (yellowing of the skin and eyes), but not hypotonia, weak reflexes, or a weak cry.

Choice C. Preterm birth is wrong because it is a condition where the baby is born before 37 weeks of gestation.

Preterm birth can cause many complications, such as respiratory distress, bleeding in the brain, and infection, but not hypotonia, weak reflexes, or a weak cry.

Choice D. Macrosomia is wrong because it is a condition where the baby is larger than average at birth, usually weighing more than 4 kg (8 lb 13 oz).

Macrosomia can cause problems during delivery, such as shoulder dystocia, birth injury, and low blood sugar, but not hypotonia, weak reflexes, or a weak cry.