A nurse is performing a newborn assessment and notes depressed fontanels.
Which of the following is true regarding depressed fontanels in newborn assessment?

Depressed fontanelles are only seen in premature newborns.

Depressed fontanelles indicate infection.

Depressed fontanelles are a sign of dehydration.

Depressed fontanelles are a normal finding in newborns.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Depressed fontanelles are not exclusive to premature newborns. They can occur in both premature and full-term infants and are not an indicator of prematurity.

Choice B rationale

Depressed fontanelles do not indicate infection. Infections in newborns typically present with other symptoms such as fever, irritability, and poor feeding.

Choice C rationale

Depressed fontanelles are a sign of dehydration in newborns. When a newborn is dehydrated, the fontanelles can appear sunken due to the lack of fluid in the body.

Choice D rationale

Depressed fontanelles are not a normal finding in newborns. Normally, fontanelles should be flat or slightly curved inward. A depressed fontanelle is a clinical sign that requires further evaluation and intervention.

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Correct Answer is C

Explanation

Choice A rationale

Applying a 1-2 cm ribbon from outer to inner canthus is incorrect because it increases the risk of contamination and infection by moving from a less clean area to a more clean area.

Choice B rationale

Applying a 2-3 inch ribbon from inner to outer canthus is incorrect because the length of the ribbon is too long and the direction is not recommended for preventing contamination.

Choice C rationale

Applying a 1-2 cm ribbon from inner to outer canthus is correct as it minimizes the risk of contamination by moving from a cleaner area to a less clean area, ensuring proper application of the ointment.

Choice D rationale

Applying a 1-2 inch ribbon to the upper eyelid is incorrect because the upper eyelid is not the recommended site for application, and the length of the ribbon is too long.

A. Milia B. Barrel-shaped chest C. Respiratory rate 66/min D. Acrocyanosis present E. Polydactyly

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

A. Milia: Expected (normal) finding.

B. Barrel-shaped chest: Expected (normal) finding.

C. Respiratory rate 66/min: Abnormal finding.

D. Acrocyanosis present: Expected (normal) finding.

E. Polydactyly: Abnormal finding.

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A nurse is performing a newborn assessment and notes depressed fontanels.Which of the following is true regarding depressed fontanels in newborn assessment?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer 0.5% Erythromycin ophthalmic ointment to a newborn.Which route and dose should the nurse apply?

Correct Answer is C

Explanation

A nurse is completing a full assessment of a newborn at 4 hours of life. For each of the assessment findings below, click to specify if this is an expected (normal) newborn finding or an abnormal finding. Note: each column must have at least one response option selected.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

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A nurse is performing a newborn assessment and notes depressed fontanels.
Which of the following is true regarding depressed fontanels in newborn assessment?