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 : A
Choice A rationale:
The Moro reflex is a normal finding in newborns, including those born post-term. It is a primitive reflex that should be present and indicates a healthy neurological system.
Choice B rationale:
Vernix, a protective white substance that coats the skin in utero, is typically absent or minimal in post-term newborns due to its decreased production as gestation progresses. Therefore, it would not be expected in a post-term infant.
Choice C rationale:
Lanugo, the fine hair covering a newborn's body, is usually present in greater amounts in preterm infants. By the time a newborn is post-term, lanugo is typically sparse or absent, making it an unlikely finding.
Choice D rationale:
This maneuver assesses the flexibility of the newborn's joints. Post-term infants tend to have reduced flexibility and increased muscle tone, making this maneuver more difficult or restricted in this population.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale:
One ounce is equivalent to 29.57 ml (30 mls when rounded off to the nearest whole number). This conversion is essential in pediatric care, especially when administering medications to infants, as doses are often prescribed in milliliters.
Choice B rationale:
One ounce is equivalent to 29.57 ml (30 mls when rounded off to the nearest whole number). This conversion is essential in pediatric care, especially when administering medications to infants, as doses are often prescribed in milliliters.
Choice C rationale:
One ounce is equivalent to 29.57 ml (30 mls when rounded off to the nearest whole number). This conversion is essential in pediatric care, especially when administering medications to infants, as doses are often prescribed in milliliters.
Choice D rationale:
One ounce is equivalent to 29.57 ml (30 mls when rounded off to the nearest whole number). This conversion is essential in pediatric care, especially when administering medications to infants, as doses are often prescribed in milliliters.
Correct Answer is C
Explanation
Choice A rationale:
Reporting the client's weight to the provider is not a priority in this situation. While weight is important, the immediate concern is the newborn's respiratory distress and the acidosis indicated by the blood gases.
Choice B rationale:
Selecting diagnostic studies for the primary health care is not the nurse's role. The primary health care provider will determine which diagnostic studies are needed based on the newborn's clinical presentation and assessment findings.
Choice C rationale:
Checking brachial pulses for the client's respiratory status is the appropriate action. In a newborn with respiratory distress, assessing peripheral perfusion, including brachial pulses, is crucial to monitor the circulation and oxygenation of tissues.
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