A nurse is assessing a newborn's gestational age using the New Ballard Scale.

Which of the following signs would indicate prematurity?

Thin and transparent skin

Well-developed breast buds

Creases on the bottom of feet

Developed labia.

Answer and Explanation

The Correct Answer is A

Thin and transparent skin is a sign of prematurity in newborns. The New Ballard Scale is a scale that estimates the gestational age of a newborn infant based on physical and neuromuscular characteristics.

The other choices are signs of maturity or postmaturity in newborns:

• Choice B: Well-developed breastbuds indicate a gestational age of 38 to 44 weeks.

• Choice C: Creases on the bottom of feet indicate a gestational age of 32 to 44 weeks.

• Choice D: Developed labia indicate a gestational age of 40 to 44 weeks.

The normal range for gestational age is 37 to 42 weeks. Premature infants are those born before 37 weeks, and postmature infants are those born after 42 weeks.

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Correct Answer is B

Explanation

This is wrong because acrocyanosis means that the body is pink but the extremities are blue, which indicates poor circulation.A normal Apgar score for color is two points, which means that the baby is pink all over.

Choice A is correct because a heart rate below 100 beats per minute is considered moderately abnormal and receives one point.

Choice C is correct because active motion of extremities indicates good muscle tone and receives two points.

Choice D is correct because a vigorous cry when stimulated indicates good reflex irritability and receives two points.

A. White patches on the tongue B. Bleeding of the gums C. Darkening of the mucosa D. Red spots on the hard palate.

Correct Answer is D

Explanation

Darkening of the mucosa.This is an expected variation for an older adult client because the melanin production increases with age.

Some possible explanations for the other choices are:

• Choice A.White patches on the tongue could indicate candidiasis, an oral fungal infection.

• Choice B.Bleeding of the gums could indicate gingivitis, periodontitis, or vitamin C deficiency.

• Choice C.Red spots on the hard palate could indicate petechiae, which are small hemorrhages caused by trauma, infection, or bleeding disorders.

Normal ranges for oral mucosa color vary depending on the skin tone and ethnicity of the client.Generally, the oral mucosa should be pink and moist without lesions or discolorations.

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A nurse is assessing a newborn's gestational age using the New Ballard Scale. Which of the following signs would indicate prematurity?

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A nurse is assessing a newborn's gestational age using the New Ballard Scale.

Which of the following signs would indicate prematurity?