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Which of the following observations should be recorded as part of a newborn gestational age assessment?

A.

Anterior fontanel soft and level.

B.

Plantar creases cover 3 of the sole.

C.

Acrocyanosis of hands and feet.

D.

Vernix caseosa in inguinal creases

Answer and Explanation

The Correct Answer is B

Choice A rationale
While the anterior fontanel being soft and level is an important observation in a newborn, it is not typically used as part of a gestational age assessment.
Choice B rationale
The presence of plantar creases covering 3 of the sole is a typical finding in a full-term newborn and is used as part of a gestational age assessment.
Choice C rationale
Acrocyanosis, or bluish discoloration of the hands and feet, is a common finding in newborns, especially shortly after birth. However, it is not typically used as part of a gestational age assessment.
Choice D rationale
Vernix caseosa in the inguinal creases can be a sign of a preterm newborn, as vernix caseosa is typically present in larger amounts in preterm newborns. However, it is not typically used as part of a gestational age assessment.
 


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Related Questions

Correct Answer is B

Explanation

To calculate the estimated date of birth (EDB) using the first day of the last menstrual period (LMP), you can use Naegele’s Rule. This rule adds 280 days (or 40 weeks) to the first day of the LMP.

Given the LMP of July 27 (0727):

  1. Add 1 year: July 27, 2023 becomes July 27, 2024.
  2. Add 7 days: July 27, 2024 becomes August 3, 2024.
  3. Subtract 3 months: August 3, 2024 becomes May 3, 2024.

So, the estimated date of birth (EDB) is May 3, 2024 (0503).

Correct Answer is C

Explanation

Choice A rationale
Ceftriaxone (Rocephin) is an antibiotic that is often used to treat bacterial infections, but it is not typically the first line of treatment for herpes.
Choice B rationale

Penicillin G intravenously is a type of antibiotic that is often used to treat bacterial infections. However, herpes is a viral infection, and antibiotics are not effective against viruses.
Choice C rationale
Acyclovir is an antiviral medication that is commonly used to treat herpes infections. It works by slowing the growth and spread of the herpes virus in the body. This would be the most appropriate treatment for a patient presenting with symptoms of a herpes outbreak.
Choice D rationale
Betamethasone is a type of corticosteroid that is often used to reduce inflammation. While it might help to reduce some of the inflammation and discomfort associated with herpes lesions, it would not address the underlying viral infection.

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