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

Anterior fontanel soft and level.

Plantar creases cover 3 of the sole.

Acrocyanosis of hands and feet.

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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Correct Answer is B

Explanation

A. The posterior fontanel is palpable. B. The lowermost portion of the fetus is at the level of the ischial spines. C. The largest fetal diameter has passed through the pelvic outlet. D. The fetal head is in the left occiput posterior position.

Correct Answer is D

Explanation

Choice A rationale
The palpability of the posterior fontanel is not related to the position of the fetus.
Choice B rationale
The level of the ischial spines refers to the station of the fetus, not its position.
Choice C rationale
The passage of the largest fetal diameter through the pelvic outlet is a stage of labor, not a fetal position.
Choice D rationale
This is the correct answer. The left occiput posterior position refers to the position of the fetal head.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client’s amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is examining a client who is in active labor and observes that the presenting part is in the left occiput posterior position. What is the clinical interpretation of this finding?

Correct Answer is D

Explanation

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