A nurse is assisting in collecting data for a gestational age assessment on a newborn. Which of the following should the nurse check during a neuromuscular assessment? (Select all that apply.)
Scarf sign
Arm recoil
Moro reflex
Heel to ear
Popliteal angle
Correct Answer : A,B,C
Choice A rationale: The Scarf sign assesses the range of motion of the newborn's shoulder and elbow joint. It measures the ability of the newborn's arm to be brought across the chest.
Choice B rationale: Arm recoil measures the degree of resistance and recoil of the newborn's arm when it is extended and then flexed against the chest. This reflex provides information about the newborn's muscle tone and neuromuscular maturity.
Choice C rationale: The Moro reflex, also known as the startle reflex, is elicited by a sudden change in the newborn's position or by a loud noise. It involves an initial extension and abduction of the arms, followed by a flexion and adduction. This reflex helps assess the newborn's neurologic and neuromuscular maturity.
Choice D rationale: "Heel to ear" is not a standard neuromuscular assessment used in the gestational age assessment. It may be an incorrect or unclear term.
Choice E rationale: The popliteal angle is not a neuromuscular assessment used in the gestational age assessment. It measures the angle of flexion in the knee joint and is not directly related to neuromuscular maturity
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Uterine enlargement greater than expected for gestational age is not a typical finding in a possible ectopic pregnancy. An ectopic pregnancy occurs when the fertilized egg implants outside the uterus, usually in the fallopian tube, and the uterus does not enlarge normally.
Choice B rationale:
Copious vaginal bleeding is not a typical finding in a possible ectopic pregnancy. Vaginal bleeding can occur, but it is not usually copious.
Choice C rationale:
Severe nausea and vomiting are not typically associated with a possible ectopic pregnancy. Nausea and vomiting are common symptoms in early pregnancy, but they are not specific to an ectopic pregnancy.
Choice D rationale:
Pelvic pain is a common finding in a possible ectopic pregnancy. The pain is often sharp, and unilateral, and may be located on one side of the lower abdomen or pelvis.
Correct Answer is B
Explanation
A. SGA newborns often have increased circulating RBCs (polycythemia) due to chronic hypoxia in utero, not decreased RBCs.
B. Blood glucose instability (hypoglycemia) is common in SGA newborns due to decreased glycogen stores and increased metabolic demands.
C. Retinopathy of prematurity is more commonly associated with preterm infants and prolonged oxygen therapy rather than SGA status.
D. SGA newborns typically have a scaphoid (sunken) rather than a well-rounded abdomen due to decreased subcutaneous fat stores.
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