Which is the primary goal for a newborn with a cleft of the soft palate?

Option A is incorrect because Tanner staging is not solely based on developmental achievement according to age. It assesses physical development irrespective of age.

Option B is incorrect because it is not based on the color of pigmentation on the scrotum but rather on multiple physical characteristics.

Option C. Based on the development of pubic hair in girls.

The Tanner staging system, also known as sexual maturity rating or sexual maturity scale, is a system used to assess the sexual development of children and adolescents based on physical characteristics, primarily focusing on secondary sexual characteristics. It is used to assess the stage of puberty in both boys and girls. In the case of girls, it includes the development of pubic hair, breast development, and other changes like the growth of the areola.

Option D is incorrect because it doesn't solely focus on staged voice changes in males. The Tanner staging system includes a range of characteristics, including voice changes, genital development, and pubic hair growth, to assess sexual maturity in both males and females.

A. Alertness as such weight loss is not expected: This response may unnecessarily alarm the mother when, in fact, some weight loss in the early days is normal.

B. Reassurance as this is a normal weight loss.

It is normal for newborns to lose some weight during the first few days of life. The loss is often related to fluid loss, changes in feeding patterns, and initial adjustment to life outside the womb. A loss of one-half pound in a 2-day-old neonate is generally considered within the normal range. It's important for the nurse to reassure the new mother that this weight loss is expected and not a cause for alarm. Newborns typically start to regain their birth weight within a week or two. This reassurance can help ease the mother's distress and anxiety.

C. Alarm as this is a drastic weight loss: Characterizing this weight loss as "drastic" is not accurate or helpful and would likely increase the mother's anxiety.

D. Concern as this may be an indicator of inadequate nutrition: Jumping to the conclusion of inadequate nutrition without further assessment and evidence is premature and may unnecessarily worry the mother. It's important to start with reassurance and then investigate if there are concerns about nutrition.