A nurse is caring for a newborn with a gestational age of 42 weeks.

Which finding would the nurse expect during the assessment of this newborn?

Sole creases that cover only the anterior one-third of the foot.

Abundance of vernix caseosa in the skin creases.

Dryness and flaking of the skin on the hands and feet.

Large amount of fine, downy hair on the back and shoulders.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. Dryness and flaking of the skin on the hands and feet. This is because a newborn with a gestational age of 42 weeks is considered post-mature and has lost the protective vernix caseosa that covers the skin of most newborns. The skin of a post-mature newborn is also more exposed to the amniotic fluid, which can cause it to peel and crack.

Choice A is wrong because sole creases that cover only the anterior one-third of the foot are characteristic of a preterm newborn, not a post-mature one.

Choice B is wrong because vernix caseosa is abundant in preterm newborns and decreases as gestational age increases. A post-mature newborn would have little or no vernix caseosa on the skin.

Choice D is wrong because a large amount of fine, downy hair (lanugo) on the back and shoulders is also typical of a preterm newborn, not a post-mature one. Lanugo usually disappears by 36 weeks of gestation. A post-mature newborn would have little or no lanugo on the body.

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Correct Answer is B

Explanation

A transverse lie means that the baby is lying sideways across the uterus, instead of head-down or breech.

This position makes vaginal delivery impossible and increases the risk of umbilical cord prolapse, which can compromise fetal oxygen supply.Therefore, a cesarean delivery is indicated for a fetus in a transverse lie.

Choice A is wrong because having extremely slender hips does not necessarily mean that a woman cannot deliver vaginally.

The size and shape of the pelvis, not the external appearance, determines the adequacy of the birth canal.A trial of labor may be attempted for women with borderline pelvic measurements.

Choice C is wrong because fetal hyperactivity is not a reason for a cesarean delivery.

Fetal movements may vary depending on the time of day, maternal activity, maternal blood sugar level, and other factors.Fetal well-being can be assessed by fetal heart rate monitoring and biophysical profile.

Choice D is wrong because having a posterior cervix does not indicate the need for a cesarean delivery.

A posterior cervix means that the cervix is tilted toward the back of the uterus, which may make cervical dilation slower and more painful.However, with adequate contractions and maternal pushing, the cervix can move to an anterior position and allow vaginal delivery.

A. Remind the patient that the examination will be less painful if she relaxes. B. Remind the patient that this is a routine procedure for women who attend the clinic. C. Remind the patient that the nurse will stay with her during the examination. D. Remind the patient that the examination takes only a short time.

Correct Answer is C

Explanation

The correct answer is choice C. Remind the patient that the nurse will stay with her during the examination.

This measure would help reduce the patient’s anxiety by providing emotional support and reassurance.

The patient may feel scared, embarrassed, or vulnerable during the pelvic examination, especially since she is young and pregnant.

Having a trusted person with her can help her cope with these feelings.

Choice A is wrong because it may imply that the examination will be painful and increase the patient’s anxiety.

Choice B is wrong because it may make the patient feel like she is not being treated as an individual and that her concerns are not valid.

Choice D is wrong because it may make the patient feel rushed or pressured and not allow her to ask questions or express her feelings.

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A nurse is caring for a newborn with a gestational age of 42 weeks. Which finding would the nurse expect during the assessment of this newborn?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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A nurse is caring for a newborn with a gestational age of 42 weeks.

Which finding would the nurse expect during the assessment of this newborn?