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. G5 T2 P1 A1 L3 B. G4 T2 P1 A1 L4 C. G5 T1 P2 A1 L4 D. G4 T1 P2 A1 L3

Correct Answer is B

Explanation

G: 4 pregnancies (2017 spontaneous abortion, 2018 twins with one demise, 2020 NSVD, and the current pregnancy)
T: 2 term births (2020 and 2022)
P: 1 preterm birth
A: 1 abortion/miscarriage (2017 spontaneous abortion)
L: 4 living children (twins from 2018 and the child born in 2020)

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

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