A nurse is collecting data from a newborn who is 1 hr old and was born at 43 weeks of gestation. Which of the following findings should the nurse expect? (Select all that apply.)

Dry, cracked skin

Hypotonia

Excessive lanugo

Absent vernix

Long, hard nails

Answer and Explanation

Correct Answer : B,C,E

A)   Incorrect- Dry, cracked skin is not typically associated with a newborn born at 43 weeks of gestation. It's more common in post-term babies.
B)   Correct - Hypotonia (low muscle tone) is a possible finding in post-term newborns due to the aging placenta and potential decrease in amniotic fluid.
C)   Correct - Excessive lanugo (fine, downy hair) is more likely to be present in post-term babies as they have less vernix to protect their skin.
D)   Incorrect- Absent vernix might be more characteristic of a post-term newborn, but its presence or absence varies widely.
E)   Correct - Long, hard nails can be a characteristic of post-term babies, as they have had more time for nail growth in the womb.

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Correct Answer is B

Explanation

A) Incorrect- Foul-smelling vaginal discharge might indicate infection but is not the priority over the presence of meconium-stained amniotic fluid.
B) Correct- Fetal heart rate is important to monitor, but the presence of meconium- stained amniotic fluid has higher priority. fetal heart tones 98/min, because this indicates fetal distress and requires immediate intervention.
C) Incorrect - Amniotic fluid with meconium noted could indicate fetal hypoxia or distress, but it is not always a sign of a problem and depends on other factors such as gestational age and fetal activity.
D) Incorrect- Maternal temperature elevation might indicate infection but is not the priority over assessing the condition of the amniotic fluid and the baby.

A. Hgb 9.5 g/dL B. Platelets 225,000/mm3 C. Glucose 60 mg/dL D. WBC 10,000/mm

Correct Answer is A

Explanation

A) Correct - A hemoglobin level of 9.5 g/dL in a full-term newborn is lower than the expected range and should be reported to the provider for further evaluation.
B) Incorrect- Platelets of 225,000/mm3 are within the normal range for newborns and do not require immediate reporting.
C) Incorrect- A glucose level of 60 mg/dL is within the normal range for a newborn and does not require immediate reporting.
D) Incorrect- A white blood cell count of 10,000/mm3 is within the normal range for a newborn and does not require immediate reporting.

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A nurse is collecting data from a newborn who is 1 hr old and was born at 43 weeks of gestation. Which of the following findings should the nurse expect? (Select all that apply.)

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