A nurse is caring for an infant born at 40 weeks of gestation.
Which of the following findings should the nurse expect?

Copious vernix.

Increased subcutaneous fat.

Dry, cracked skin.

Scant scalp hair.

Answer and Explanation

The Correct Answer is B

Choice B rationale

Infants born at 40 weeks gestation typically have increased subcutaneous fat, aiding in temperature regulation and energy reserves.

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Correct Answer is D

Explanation

Choice A rationale

Positive Moro and stepping reflexes are normal findings in newborns and are not specifically associated with dehydration or SGA.

Choice B rationale

Scant vernix is common in full-term babies and not indicative of SGA or dehydration.

Choice C rationale

Blood glucose levels provided are within normal range for newborns and do not indicate dehydration.

Choice D rationale

Tenting of the skin and dry lips are signs of dehydration, which can be associated with SGA newborns due to insufficient fluid intake. .

A. Initiate phototherapy. B. Administer intravenous dextrose. C. Perform a lumbar puncture. D. Encourage frequent breastfeeding or formula feeding. E. Administer naloxone.

Correct Answer is ["A","B","D"]

Explanation

Choice A rationale: Initiating phototherapy is essential for treating neonatal jaundice. Phototherapy helps to break down bilirubin in the skin, reducing serum bilirubin levels and preventing complications such as kernicterus. It is a common and effective treatment for elevated bilirubin levels in newborns.

Choice B rationale: Administering intravenous dextrose addresses the newborn's low blood glucose level. Hypoglycemia in newborns can lead to severe neurological complications if not treated promptly. Dextrose administration helps stabilize blood glucose levels, improving the newborn's overall condition.

Choice C rationale: Performing a lumbar puncture is not indicated in this scenario. The newborn's symptoms and diagnostic results do not suggest a need for this procedure. Lumbar punctures are typically performed to diagnose conditions such as meningitis, which is not evident here.

Choice D rationale: Encouraging frequent breastfeeding or formula feeding helps in reducing bilirubin levels and maintaining blood glucose levels. Adequate feeding promotes regular bowel movements, aiding in the excretion of bilirubin, and ensures the newborn receives necessary nutrients to stabilize blood glucose levels.

Choice E rationale: Administering naloxone is used for opioid withdrawal, which is not relevant in this case. The newborn's symptoms do not indicate opioid exposure, so this intervention is unnecessary.

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A nurse is caring for an infant born at 40 weeks of gestation.Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a 40-week small for gestational age (SG

Correct Answer is D

Explanation

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Correct Answer is ["A","B","D"]

Explanation

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A nurse is caring for an infant born at 40 weeks of gestation.
Which of the following findings should the nurse expect?