Which newborn assessment finding would require the nurse to report to the health care provider?

The newborn who has cyanotic hands and feet.

The newborns whose head turns toward the cheek being stroked

The newborn whose toes curl when the lateral heel is stroked

The newborn who extends the arms when hearing a loud noise

Answer and Explanation

The Correct Answer is A

A. The newborn who has cyanotic hands and feetCyanosis, a bluish or purplish discoloration of the skin, in the hands and feet of a newborn can indicate a breathing problem or poor circulation. This requires prompt evaluation by a healthcare provider.
B. The newborn whose head turns toward the cheek being stroked. This describes the rooting reflex, which is normal.
C. The newborn whose toes curl when the lateral heel is stroked. This describes the Babinski reflex, which is also normal for infants.
D. The newborn who extends the arms when hearing a loud noise. This describes the Moro reflex, which is normal and should not require reporting.

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Correct Answer is C

Explanation

A. A 10-year-old with a burn on the palm of the hand: This could potentially be accidental, for example, from touching a hot surface. However, while it requires further investigation, it is not as strongly indicative of abuse as the given option.
B. A 6-year-old with splash burns on the front torso: These burns could result from accidentally spilling hot liquids. Though it raises concern, it often indicates an accident rather than abuse unless accompanied by other suspicious signs.
C. A 4-year-old with circular abrasions around the wrists: This is highly suspicious of abuse because circular abrasions can indicate that the child may have been tied or restrained, which is not typical of accidents or normal play.
D. A 2-year-old with a large bruise on the forehead: This type of injury is common in young children who are prone to falls and bumps. It might not immediately suggest abuse without additional context.

A. I perform range of motion exercises every 4 hours to help prevent contractures B. I make sure that I use toys and activities that are appropriate for my child's chronological age C. I have utensils with large, padded handles to make it easier for my child to feed himself D. I play games with my child every day to keep them as independent as possible E. I give my child carbidopa so that he will stop drooling

Correct Answer is ["A","C","D"]

Explanation

A. I perform a range of motion exercises every 4 hours to help prevent contractures. This helps prevent the tightening of muscles and joints, reducing the risk of contractures common in spastic cerebral palsy.
B. I make sure that I use toys and activities that are appropriate for my child's chronological age. While important, this does not specifically address the care needs related to spastic cerebral palsy.
C. I have utensils with large, padded handles to make it easier for my child to feed himself. Adaptive utensils promote independence in self-care activities.
D. I play games with my child every day to keep them as independent as possible. Engaging in activities that promote independence and social interaction is beneficial for children with cerebral palsy.
E. I give my child carbidopa so that he will stop drooling. Medications like carbidopa are not typically used to manage drooling associated with cerebral palsy and are not a primary care measure.

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Which newborn assessment finding would require the nurse to report to the health care provider?

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Naxlex Comprehensive Predictor Exams

Which of the following clients would the nurse report as a suspected abuse case?

Correct Answer is C

Explanation

Which statements made by the parent indicate that appropriate care is being provided to a 4-year-old who has spastic type cerebral palsy? (Select All that Apply.)

Correct Answer is ["A","C","D"]

Explanation

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Which newborn assessment finding would require the nurse to report to the health care provider?