A nurse is assessing a newborn who was born postterm. Which of the following findings should the nurse expect?

Pale, translucent skin

Large deposits of subcutaneous fat

Nails extending over tips of fingers

Thin covering of fine hair on shoulders and back .

Answer and Explanation

The Correct Answer is C

Choice A rationale
Pale, translucent skin is not typically a characteristic of a postterm newborn. Postterm newborns often have dry, peeling, loose skin.
Choice B rationale
Large deposits of subcutaneous fat are not usually seen in postterm newborns. In fact, these babies may appear abnormally thin, especially if the function of the placenta was severely reduced near the end of the pregnancy.
Choice C rationale
Nails extending over the tips of the fingers is indeed a common characteristic of postterm newborns. This is because the baby has had more time to grow in the womb.
Choice D rationale
A thin covering of fine hair on the shoulders and back is not typically seen in postterm newborns. This characteristic is more commonly associated with preterm babies.

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Correct Answer is C

Explanation

To calculate the estimated date of delivery using Nägele’s Rule, subtract three months from the first day of the last menstrual period (August 10), and then add seven days. This gives an estimated date of delivery of May 176.

A. “Scheduled induction of labor.”. B. “Immediate cesarean birth.”. C. “Administration of methotrexate.”. D. “Dilation with suction curettage.”.

Correct Answer is A

Explanation

Choice A rationale
In the case of intrauterine fetal demise at 36 weeks of gestation, the most common treatment option is induction of labor.
Choice B rationale
An immediate cesarean birth is typically not the first choice of treatment for intrauterine fetal demise unless there are other complications.
Choice C rationale
Methotrexate is used to treat ectopic pregnancies, not intrauterine fetal demise.
Choice D rationale
Dilation with suction curettage is typically used for early pregnancy loss, not late-term intrauterine fetal demise.

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A nurse is assessing a newborn who was born postterm. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, which of the following is the client’s estimated date of delivery?

Correct Answer is C

Explanation

“A nurse is caring for a patient who is at 36 weeks of gestation and has a confirmed intrauterine fetal demise. Which of the following treatment options should the nurse anticipate the provider to discuss with the patient?”

Correct Answer is A

Explanation

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