A nurse is caring for a newborn who is small for gestational age. Which of the following findings is associated with this condition?

Protruding abdomen

Gray umbilical cord

Moist skin

Wide skull sutures

Answer and Explanation

The Correct Answer is D

Choice A rationale:
A protruding abdomen is not specifically associated with being small for gestational age and can have various other causes in newborns.
Choice B rationale:
A gray umbilical cord is not a typical finding associated with being small for gestational age. Choice C rationale:
Moist skin is not a specific finding associated with being small for gestational age and can be observed in all newborns.
Choice D rationale:
Wide skull sutures are associated with being small for gestational age, as the skull bones may not fully close due to restricted growth in the womb.

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Correct Answer is C

Explanation

Choice A rationale:
Maternal serum alpha-fetoprotein (MSAFP) determination is not used to screen for ABO incompatibility. It is specifically used to screen for certain fetal abnormalities.
Choice B rationale:
MSAFP determination is not used to screen for gestational diabetes. It is primarily used for detecting certain fetal abnormalities.
Choice C rationale:
The MSAFP test is a prenatal screening test that measures the level of alpha-fetoprotein in the mother's blood. Abnormal levels of alpha-fetoprotein may indicate a neural tube defect, such as spina bifida, or other chromosomal abnormalities.
Choice D rationale:
MSAFP determination is not used to screen for fetal maturity. It is used to assess the risk of certain fetal abnormalities.

A. Perform a sharp hand clap near the infant. B. Place a finger at the base of the newborn's toes. C. Hold the newborn vertically, allowing one foot to touch the crib surface. D. Turn the newborn's head quickly to one side.

Correct Answer is A

Explanation

Choice A rationale: The Moro reflex, also known as the startle reflex, is elicited by making a loud noise or performing a sharp hand clap near the newborn. In response to the stimulus, the newborn will throw their arms and legs outward and then bring them back toward the center of the body.
Choice B rationale: Placing a finger at the base of the newborn's toes is not related to eliciting the Moro reflex. This action may elicit the Babinski reflex, which causes the toes to fan out and the big toe to dorsiflex.
Choice C rationale: This action may elicit the stepping reflex, where the newborn will make stepping movements when the soles of their feet touch a flat surface. It is not related to eliciting the Moro reflex.
Choice D rationale: Turning the newborn's head quickly to one side is not related to eliciting the Moro reflex. This action may elicit the asymmetric tonic neck reflex (ATNR), where the newborn will extend the arm and leg on the side their head is turned to and flex the opposite arm and leg.

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A nurse is caring for a newborn who is small for gestational age. Which of the following findings is associated with this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination. Which of the following information should the nurse include?

Correct Answer is C

Explanation

A nurse is collecting data about reflexes from a newborn. Which of the following actions should the nurse take to elicit the newborn's Moro reflex?

Correct Answer is A

Explanation

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