A nurse is preparing to examine a post-term newborn immediately following delivery. Which of the following findings should she expect to observe? (Select all that apply.).
Moro reflex.
Vernix in the folds and creases.
Abundant lanugo.
Heel to ear maneuverability.
Correct Answer : B,C,E
Choice A rationale:
The Moro reflex is a normal newborn reflex that is typically present up to about 4 months of age. However, it may not be as pronounced or may disappear in post-term newborns.
Choice B rationale:
Vernix is a waxy, white substance that covers the skin of newborns and is more commonly seen in premature babies. However, it can also be present in post-term newborns, especially in skin folds and creases.
Choice C rationale:
Lanugo refers to the fine, soft hair that covers the body of a developing fetus. Post-term newborns may still have abundant lanugo, especially on their shoulders, back, and forehead.
Choice D rationale:
The heel-to-ear maneuverability is not a typical finding in newborns and is not related to post-term gestation.
Choice E rationale:
Post-term newborns often have dry, cracked, and peeling skin because they have been in the amniotic fluid for an extended period. This finding is characteristic of post-term gestation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Newborns do not show interest in eating while crying. Crying is usually an indication of distress or hunger and not a state where they are interested in eating.
Choice B rationale:
Newborns are most interested in eating when they are in an "alert”. state. During this state, the baby is awake, calm, and attentive, making it an ideal time for feeding.
Choice C rationale:
In the "drowsy”. state, newborns may be sleepy and less interested in eating. They might feed less effectively in this state.
Choice D rationale:
"Active alert”. is a state where the newborn is awake, attentive, and active. While they may be interested in their surroundings, they may also be easily distracted during feeding.
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale:
The Moro reflex is a normal newborn reflex that is typically present up to about 4 months of age. However, it may not be as pronounced or may disappear in post-term newborns.
Choice B rationale:
Vernix is a waxy, white substance that covers the skin of newborns and is more commonly seen in premature babies. However, it can also be present in post-term newborns, especially in skin folds and creases.
Choice C rationale:
Lanugo refers to the fine, soft hair that covers the body of a developing fetus. Post-term newborns may still have abundant lanugo, especially on their shoulders, back, and forehead.
Choice D rationale:
The heel-to-ear maneuverability is not a typical finding in newborns and is not related to post-term gestation.
Choice E rationale:
Post-term newborns often have dry, cracked, and peeling skin because they have been in the amniotic fluid for an extended period. This finding is characteristic of post-term gestation.
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