A nurse is assessing a postmature infant. Which of the following findings would the nurse expect? (Select All that Apply.)

Vernix in the folds and creases

Short, soft fingernails

Abundant lanugo

Cracked, peeling skin

Creases covering soles of feet

Positive moro reflex

Answer and Explanation

Correct Answer : D,E,F

A. Vernix in the folds and creases. Vernix caseosa is typically decreased or absent in postmature infants.
B. Short, soft fingernails. Postmature infants usually have long, hard fingernails.
C. Abundant lanugo. Lanugo (fine body hair) is usually less or absent in postmature infants, which is more typical of preterm infants.
D. Cracked, peeling skin. Postmature infants often have dry, peeling skin due to prolonged exposure to amniotic fluid.
E. Creases covering soles of feet. This is a sign of maturity; postmature infants have more developed skin creases on the soles of their feet.
F. Positive moro reflex. This is a normal reflex seen in infants and should be present in a postmature infant.

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Correct Answer is ["6"]

Explanation

Heart rate (110/min): 2 points

Respiratory effort (slow, weak cry): 1 point

Muscle tone (some flexion of extremities): 1 point

Reflex irritability (grimace): 1 point

Color (body pink, blue extremities): 1 point

APGAR-6

A. Rhythmic suckling B. A slurping sound as the infant sucks C. Tongue down with lips flanged D. Dimpling of the infant's cheeks while sucking E. Audible swallowing

Correct Answer is ["A","C","E"]

Explanation

A. Rhythmic suckling. Indicates the infant is effectively extracting milk.
B. A slurping sound as the infant sucks. This suggests poor latch and possible ingestion of air.
C. Tongue down with lips flanged. Shows that the infant's tongue is extended over the lower gum and lips are flared outward, creating a seal.
D. Dimpling of the infant's cheeks while sucking. Indicates improper latch and poor seal around the breast.
E. Audible swallowing. Indicates milk transfer is occurring as the infant swallows.

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A nurse is assessing a postmature infant. Which of the following findings would the nurse expect? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["6"]

Explanation

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Explanation

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