OB: EXAM 4 The Normal Newborn: Needs and Care
Which is the best place to perform a heel stick on a newborn?
The fat pads on the lateral aspects of the foot
Which of the following instructions would the nurse include in the teaching plan for a mother of a substance-exposed newborn?
"Wrap him snugly in a blanket and gently rock him if he's fussy."
The nurse is discharging a 15-year-old first-time mother. Which statement should the nurse include in the discharge teaching?
"Your infant should wet a diaper at least 6 times per day."
The nurse assesses a sleeping 1-hour-old, 39-weeks'-gestation newborn. The assessment data that would be of greatest concern would be which of the following?
Respirations 68 breaths/minute
What is the most important thing the nurse can teach the family of a newborn to prevent abduction while the baby is in the hospital?
Check the identification badge of any health care worker before he or she takes the baby from the room.
To promote infant security in the hospital, the nurse instructs the parents of a newborn to do which of the following?
Check the identification of all personnel who transport the newborn.
A newborn delivered at term is being discharged. The parents ask the nurse how to keep their baby warm. The nurse knows additional teaching is necessary if a parent states which of the following?
"A quick cool bath will help wake up my son for feedings."
When providing care to a newborn with necrotizing enterocolitis (NEC), which of the following would the nurse need to report immediately?
abdomen appearing red and shiny
On examination, the hands and feet of a 12-hour-old infant are cyanotic without other signs of distress. The nurse should document as:
acrocyanosis
Which of the following would the nurse expect to be included in the plan of care for an infant of a diabetic mother who has a serum calcium level of 6.2 mg/dL?
administration of calcium gluconate
A nursing instructor is teaching about newborn congenital disorders and realizes that the student needs further instruction upon making which of the following statements?
all congenital disorders can be diagnosed at birth
After delivery, an infant experiences meconium aspiration. What does the nurse anticipate the physician ordering prophylactically to prevent pneumonia?
antibiotics
You are admitting a 10-pound newborn to the nursery. You know that it will be important to monitor what during the transition period?
blood sugar
Which condition would place a neonate at the least risk for developing respiratory distress syndrome (RDS)?
chronic maternal hypertension
Periventricular hemorrhage is suspected in a newborn of 30 weeks' gestation. The nurse would anticipate preparing the newborn for which of the following to confirm the diagnosis?
cranial ultrasound
The nurse initiates newborn admission procedures and evaluates the newborn's need to remain under observation by assessing which of the following?
Respiratory rate Airway clearance Ability to feed
A nurse is caring for a child with complex esophageal atresia who will be undergoing surgery for repair. What comment by the parents indicates further teaching is required?
"After this surgery is done tomorrow, my baby will be able to eat and drink."
The nurse is preparing to apply a thermistor probe to a newborn to monitor the newborn's temperature. At which location would the nurse most likely apply the probe?
Right upper abdominal quadrant
When instructing a new mom on providing skin care to her newborn, which of the following should NOT be included in the teaching?
"Use talc powders to prevent diaper rash."
The nurse is caring for a newborn who was recently circumcised. Which nursing intervention is appropriate following the procedure?
Observe for urine output.
Placing the baby at mother's breast facilitates early latch and promotes successful breastfeeding. When should breastfeeding be initiated?
Within 1 hour of birth
Which vital sign is not routinely assessed in a term, healthy newborn with 9/9 AGPARs?
blood pressure
The nurse is caring for a baby born to a mother with a history of alcohol abuse. For what characteristics should the nurse observe to determine if the newborn has fetal alcohol syndrome? (Select all that apply.)
• Short palpebral fissures • Flattened nasal bridge • Reduced ocular growth
A nursing student is learning about congenital disorders in newborns and correctly associates the causes for central nervous system defects to be which of the following? (Select all that apply.)
• imbalanced cerebrospinal fluid • malformation of the neural tube during embryonic development
Four weeks before the birth of her already large child, the physician has told the pregnant woman that if the baby gets bigger and his lungs are ready, the physician would like to perform a cesarean to deliver the baby. The woman asks the nurse what the downside is to having a cesarean rather than a vaginal delivery. What is an appropriate response by the nurse?
"As the baby passes through the birth canal some of the excess fluid is expelled from the lungs, if that doesn't happen there's a higher risk of respiratory distress."
The parents of a newborn male ask the nurse whether they should circumcise their son. What is the best response by the nurse?
"Circumcision can sometimes cause complications. What questions do you have?"
When counseling a patient about the advantages of circumcision, which should NOT be included in the nurse's teaching?
"Circumcision decreases risks of skin dehiscence, adhesions, and urethral fistulas."
In examining her newborn son, a mother becomes concerned that the frenulum, under his tongue, is too short. She points it out to the nurse. Which of the following should the nurse say in response to this mother's concern?
"In most cases, a short frenulum does not cause problems and does not need to be corrected."
A woman comes to the nursery and states "Mrs. Smith is ready for her baby. I will be glad to take the baby to her." The woman is dressed in hospital scrub attire but has no name badge showing. What is the best response by the nurse caring for the baby?
"May I see your identification, please?"
A postpartum mother is concerned that her newborn has not had a stool since birth. The newborn is 18 hours old. What is the nurse's best response?
"Passage of the first stool within 48 hours is normal."
The parents of a newborn baby boy ask you about circumcising their son. They are undecided as to what to do. Which response by the nurse is best?
"There are pros and cons to circumcision. Let me ask the pediatrician to come and talk to you about the procedure."
The nurse is instructing the parents of a newborn about car seat safety. Which statement indicates that the parents need additional information?
"We can bring the baby home from the hospital without a car seat as it is only a short drive home."
The nurse is working with an adolescent parent. The adolescent tells the nurse, "I'm really scared that I won't take care of my baby correctly. My mother says I'll probably hurt the baby because I'm too young to be a mother." What is the best response by the nurse?
"We can give the baby's bath together. I'll help you learn how to do it."
A newborn is diagnosed with esophageal atresia and tracheoesophageal fistula. After providing preoperative teaching, which statement indicates that the parents need additional teaching?
"We can probably start feeding him with the bottle about a day after the surgery."
The nurse teaches the parents of a newborn with hyperbilirubinemia about home phototherapy using bilirubin lights. Which statement indicates that the teaching was successful?
"We'll take off the patches on his eyes when we're feeding him so he can look at us."
An infant was born with a severely deformed hand. He is now 6 months old. The nurse informs the parents that the orthopedic surgeon has recommended amputation of the hand and fitting of a prosthesis. The mother objects and tells the nurse that they would like to wait and see how the hand develops. Which of the following should the nurse say in response?
"With a deformity such as this, the hand is highly unlikely to improve."
The nurse assesses the newborn and notes the following behaviors: nasal flaring, facial grimacing, and excessive mucus. What is the nurse most concerned about?
Respiratory distress
A child is born with a talipes disorder. The child later receives a cast on the affected leg to correct the problem. Which of the following should the nurse mention to the mother as a measure to ensure good circulation in the affected leg?
Check the infant's toes for coldness or blueness
A newborn male is circumcised. Which of the following instructions would you include in the discharge teaching plan for his parents?
Cover the glans generously with Vaseline.
Baby Eliza is 7 minutes old. Her heart rate is 92, her cry is weak, her muscles are limp and flaccid, she makes a face when she is stimulated, and her body and extremities are pink. What would the nurse assign as her Apgar score?
5
The nurse is instructing a new mother on circumcision care with a Plastibell. The nurse knows the mother understands when she states that the Plastibell should fall off within how long?
8 days
The nurse is providing discharge teaching to the parents of a newborn. The nurse should instruct the parents to notify the healthcare provider in case of which of the following?
A bluish discoloration of the skin with or without a feeding. Refusal of two feedings in a row. Development of eye drainage. More than one episode of forceful vomiting.
A newborn has not passed any stools in the first 24 hours after birth, and his abdomen is becoming distended. The nurse recognizes that which of the following conditions could explain such findings?
imperforate anus
The nurse should inform the parents of a newborn that they should call their healthcare provider when which of the following occurs?
Absence of breathing longer than 20 seconds Lethargy Refusal of two feedings in a row continual increase in temperature
What is the best thing the nurse can do to manage pain in a neonate?
Advocate to the physician to use effective treatment methods that cause no pain or less pain.
A mother and her newborn are being discharged 2 days after delivery. The general discharge instructions provided by the nurse include which of the following?
Always place the infant in a supine position in the crib. Use a bulb syringe to suction mucus from the infant's nostrils as necessary.
The nurse teaches the parents of an infant who recently was circumcised to observe for bleeding. What should the parents be taught to do if bleeding does occur?
Apply gentle pressure to the site with gauze.
A newborn is discharged from the hospital before undergoing metabolic screening. A community health nurse scheduling a follow-up home visit knows that the most appropriate time to perform the heel stick is:
At least 24 hours after birth
New parents decide not to have their newborn circumcised. What should the nurse teach regarding care for the uncircumcised infant?
Avoid retracting the foreskin.
A nurse is discussing breastfeeding with a new mother and demonstrates that when she strokes the baby's cheek, the baby turns his head in that direction. This reflex is known as which of the following?
rooting reflex
When a neonate is delivered with meconium staining in the amniotic fluid, which sequence of actions will most effectively decrease the risk of meconium aspiration?
Deliver the head; then suction the mouth and then the nose.
To maintain a healthy temperature in the newborn, which of the following actions should be taken?
Encourage the mother to snuggle with the newborn under blankets. Keep the newborn's clothing and bedding dry. Reduce the newborn's exposure to drafts.
What are small unopened or plugged sebaceous glands that occur in a newborn's mouth and gums?
Epstein's pearls
A new mother asks the nurse why her baby's back and groin have a red and raised rash. Which of the following does the nurse correctly identify as the name of this condition?
Erythema toxicum.
In planning care for a new family immediately after birth, which procedure would the nurse most likely withhold for 1 hour to allow time for the family to bond with the newborn?
Eye prophylaxis medication
It is common for a newborn to have one or two erupted teeth (natal teeth) at birth.
False
Which instructions should the nurse include when teaching parents of a newborn about caring for the umbilical cord?
Fold the diaper down to prevent covering the cord stump. Keep the umbilical stump clean and dry to avoid infection. Observe for signs of infection such as foul smell, redness, and drainage.
When assessing a newborn, the nurse determines that the newborn is most likely experiencing respiratory distress syndrome (RDS) based on which of the following?
see-saw respirations
A nurse is instructing nursing students about the procedure for vitamin K administration. What information should be included?
Gently massage the site after injection. Inject in the vastus lateralis muscle. Cleanse the site with alcohol prior to injection.
Before the newborn and mother are discharged from the birthing unit, the nurse teaches the parents about newborn screening tests that includes which of the following?
Hearing screening
The AGPAR score is based on which 5 parameters?
Heart rate, muscle tone, reflex irritability, respiratory effort, and color
The standard of care and recommendation by the Centers for Disease Control is to administer an immunization to all newborns. Which immunization is recommended to be administered prior to discharge?
Hep B
Which of the following nursing diagnosis would be highest in priority for a newborn?
Ineffective airway clearance related to obstruction
Prior to conducting the initial assessment of a newborn, the nurse reviews the mother's prenatal record and the delivery record to obtain information concerning possible risk factors for the infant and to anticipate the impact of these factors on the infant's ability to successfully transition to the extrauterine environment. Which information is pertinent to this assessment?
Infectious disease screening results Maternal history of gestational diabetes Prolonged rupture of the membranes
A very healthy mother delivered Baby Ambika, who had an immediate Apgar score of 10. Ambika has been cradled in a kangaroo hold by both her mother and her father for 45 minutes and her parents feel ready to get cleaned up and let the baby be taken care of by the health care personnel for a little while. What eye care action will the nurse now take? The nurse will
Instill antibiotic 0.5 percent erythromycin or 1 percent tetracycline eye drops, if they are available, or 1 percent silver nitrate if necessary
While the nurse is weighing and measuring a toddler during his annual checkup, the toddler's mother mentions that she is thinking of having another child. The toddler is small in stature and seems mildly developmentally delayed. His eyelid folds are short and his nose is flat. What do the toddler's characteristics suggest is the best advice the nurse can give this mother about pregnancy?
It's a good idea to stop drinking alcohol 3 months before trying to get pregnant
The nurse is instructing parents of a newborn about voiding and stool characteristics. Which of the following would be considered an abnormal pattern?
Large amounts of uric acid crystals in the first days of life
A nurse caring for a client in premature labor knows that the best indicator of fetal lung maturity is which of the following data?
Lecithin to sphingomyelin ratio of more than 2:1
Discharge teaching is an important part of the labor and delivery room nurse's position. New parents need to know the basics of baby care, like how to monitor fluid volume and when to call the physician. What are the parameters for calling the physician in regards to an infants' temperature?
Less than 97.7 °F or greater than 100 °F.
Appropriate nursing interventions for the application of erythromycin ophthalmic ointment (Ilotycin) include which of the following?
Massaging eyelids gently following application
Which sign appears early in a neonate with respiratory distress syndrome?
tachypnea
An African American baby has discoloring which appears similar to bruising on his buttock after a normal vaginal delivery. This assessment should be documented as:
Mongolian Spots
A newborn is found to have hemolytic disease. Which of the following would most likely be found related to the blood types of this newborn and the parents of the newborn?
Newborn who is type A, mother who is type O
A 3-month-old girl is found to have an umbilical hernia at a well visit. On examination, the nurse discovers that the fascial ring through which the intestine protrudes is about 1 cm in diameter. Which of the following should she mention to the girl's father as the likely intervention required to correct this condition?
No intervention is needed, as the opening will most likely close spontaneously
A father is asking questions about the circumcision of his son. He is asking the nurse if there are any disadvantages to the procedure. How should the nurse respond?
Pain administration may not be effective during the procedure
The New Ballard scoring system evaluates newborns on which 2 factors?
Physical maturity and neuromuscular maturity
Which intervention is helpful for the neonate experiencing drug withdrawal?
Place the Isolette in a quiet area of the nursery.
The infant's temperature is 97.2F axillary an hour after birth. Which intervention is the appropriate for the nurse?
Place the infant under a radiant warmer or in a heated isolette.
A newborn weighed 7 lb. 3 oz. at birth. Based on this birth weight, which procedure would be necessary for you to carry out?
Plotting his weight on a gestational age graph
A father asks the nurse what medication is in the baby's eyes and why it is needed. Which of the following is the appropriate explanation?
Prevent infection of the baby's eyes by bacteria which may have been in the vaginal canal.
An infant has just been born with a cleft lip and palate. The birthing room suddenly becomes very quiet, and the birth team seem somber. The physician is busy examining the newborn, but the mother is obviously aware that something is not right. Which of the following should the nurse do?
Say to the parents, "Your son has been born with a cleft lip and palate. This condition is highly treatable by surgery, however, and he is otherwise in excellent health."
The nurse is analyzing various teaching strategies for teaching new mothers about newborn care. To enhance learning, which teaching method should the nurse implement?
Schedule time for one-to-one teaching in the mother's room.
The nurse has instructed a new mother on quieting activities for her newborn. The nurse knows that the mother understands when she overhears the mother telling the father to do what?
Swaddle the newborn in a blanket.
When caring for a newborn who is jittery and irritable 30 minutes after birth, what should the nurse do?
Take blood, using a heel stick, to check for hypoglycemia.
The nurse tells a mother that the doctor is preparing to circumcise her newborn. The mother expresses concern that the infant will be uncomfortable during the procedure. The nurse explains that the physician will numb the area before the procedure. Additional methods of comfort often used during the procedure include which of the following?
Talking to the infant Providing a pacifier Stroking the head
Which of the following activities allows the nurse to provide individualized parent teaching on the maternal-infant unit?
Teach by example and role modeling when caring for the newborn in the client's room. Teach at every opportunity, even during the night shift, if the occasion arises. Teach using one-to-one instruction while in the client's room.
All of the following are ways the nurse can encourage bonding between the parents and the newborn EXCEPT
Telling the mother that the best way to bond with her baby is to breastfeed
The nurse has just assisted the father in bathing the newborn 2 hours after birth. The nurse explains that the newborn must remain in the radiant warmer. This is based on which assessment data?
Temperature 96.8degreesF
The nurse has received the shift change report on infants born within the previous 4 hours. Which newborn should the nurse see first?
Term male, nasal flaring
After teaching a group of students about the physiologic jaundice in breast-fed and bottle-fed newborns, the instructor determines that the teaching was successful when the students state which of the following?
The decline in bilirubin levels occurs more quickly in bottle-fed newborns.
The nurse is administering erythromycin (Ilotycin) ointment to a newborn. What factors are associated with administration of this medication?
The medication should be instilled in the lower conjunctival sac of each eye. The eyelids should be massaged gently to distribute the ointment. The medication can interfere with the baby's ability to focus.
The nurse is caring for a newborn who was small for gestational age and has been determined to have the condition intrauterine growth restriction (IUGR). Which of the following factors would most likely have contributed to this condition?
The mother of this newborn has a history of abnormal blood glucose levels
A newborn has a heart rate of 90 beats per minute, a regular respiratory rate of 40 breaths per minute, tight flexion of the extremities, a grimace when stimulated, and acrocyanosis. The nurse assigns an Apgar score of:
The newborn would receive an Apgar score of 7: 1 point for heart rate (<100 beats/minute), 2 points for respiratory rate (regular respirations at a rate between 30 and 60 breaths/minute), 2 points for muscle tone (tight flexion), 1 point for reflex irritability (grimace), and 1 point for skin color (acrocyanosis).
All of the following are characteristics of an infant abductor EXCEPT
targets a specific infant
The nurse is caring for four newborns who have recently been admitted to the newborn nursery. Which labor event puts the newborn at risk for an alteration of health?
The infant's mother has group B streptococcal (GBS) disease.
The nurse is preparing to give an injection of vitamin K to a newborn. Which considerations would be appropriate?
Use a 25-gauge, 5/8-inch needle for the injection. Protect the medication bottle from light. Give vitamin K prior to a circumcision procedure. Administer a dose of 0.5 to1 mg within 1 hour of birth.
What could be considered to be the best practice for the nurse to follow in giving a newborn his or her first bath?
Wash off all traces of blood and massage the vernix into the skin.
At birth, an infant weighed 8 pounds 4 ounces. Three days later, the newborn is being discharged. The parents note that the baby now weighs 7 pounds 15 ounces. The nurse explains that the change in the newborn's weight is which of the following?
Within normal limits
What assessment should the nurse perform daily on an infant suspected of having hydrocephalus?
daily head circumference
Which finding might be seen in a neonate suspected of having an infection?
decreased temperature
When providing postpartum teaching to a couple, the nurse correctly identifies the following as when pathologic jaundice may be found in the newborn:
during the first 24 hours of life
How can the nurse be instrumental in preventing hypoglycemia in the newborn? Choose the best answer.
encouraging early and frequent feedings
A nurse in the newborn nursery has noticed that an infant is frothing and appears to have excessive drooling. Further assessment reveals that the baby has episodes of respiratory distress with choking and cyanosis. What disorder should the nurse suspect based on these findings?
esophageal atresia
The newborn has been placed in skin-to-skin contact with his mother. A blanket covers all of his body except his head. His hair is still wet with amniotic fluid, etc. What is the most likely type of heat loss this baby may experience?
evaporative
A 3-day-old neonate needs phototherapy for hyperbilirubinemia. Nursery care of a neonate receiving phototherapy includes which treatment?
eye patches to prevent retinal damage
It is common for a newborn to have one or two erupted teeth (natal teeth) at birth.
false
Since the inclusion of calcium in prenatal vitamins and all cereal and grain products, the incidence of neural tube disorders has fallen dramatically in the United States.
false
The nurse is caring for a pregnant woman with gestational diabetes mellitus, which the woman is having great difficulty keeping under control. What effect is the woman's condition most likely to have on the fetus? The fetus might
grow to an unusually large size
The nurse is caring for 22-hour-old neonate Antonio, who had a good Apgar score, nursed without difficulty, and seemed healthy when the nursing shift began. As the nurse's shift goes on, the nurse notices that the whites of his eyes and his skin have begun to take on a yellow hue. The nurse would report this as a possible indication of what condition?
hemolytic disease
You care for a child born with a tracheoesophageal fistula. Which finding during pregnancy would have caused you to suspect this might be present?
hydramnios
In addition to newborns of diabetic mothers being at risk for hypoglycemia, these newborns are also at risk for which of the following?
hypocalcemia
A woman with diabetes has just given birth. While caring for this neonate, the nurse is aware that he's at risk for which complication?
hypoglycemia
A neonate undergoing phototherapy treatment must be monitored for which adverse effect?
increased insensible water loss
The nurse who is caring for newborn Andrew notices that although he has seemed healthy at 18 hours of age, Andrew's abdomen is now distended. By 24 hours he has passed no stool. The nurse will
inform the physician
A pre-term newborn is noted to have hypotonia, apnea, bradycardia, a bulging fontanelle, cyanosis, and increased head circumference. These signs indicate the newborn most likely has which of the following complications?
intraventricular hemorrhage
While examining a 2-day old newborn, a nurse notices that the skin and sclera of the eyes appear yellow. The nurse recognizes this condition as which of the following?
jaundice
A client with group AB blood whose husband has group O blood has just given birth. Which complication or test result is a major sign of ABO blood incompatibility that the nurse should look for when assessing this neonate?
jaundice within the frst 24 hours
When caring for a neonate of a mother with diabetes, which physiologic finding is most indicative of a hypoglycemic episode?
jitteriness
Which facial change is characteristic in a neonate with fetal alcohol syndrome (FAS)?
microcephaly
The nurse observes tiny white pinpoint papules on a newborn's nose. The nurse documents this finding as:
milia
The use of breast milk for premature neonates helps prevent which condition?
necrotizing enterocolitis
The nurse should carefully monitor which neonate for hyperbilirubinemia?
neonate with ABO incompatibility
Which of the following would the nurse use as evidence of effective resuscitation?
pink tongue
The nurse is caring for a neonate. Which is the most important step the nurse can take to prevent and control infection?
practice meticulous hand washing
Which condition of delivery would predispose a neonate to respiratory distress syndrome (RDS)?
premature birth
When attempting to interact with a neonate experiencing drug withdrawal, which behavior would indicate that the neonate is willing to interact?
quiet, alert state
When caring for a neonate receiving phototherapy, the nurse should remember to:
reposition the neonate frequently
In caring for the child with esophageal atresia the nurse recognizes the highest concern for this child is the possibility of which of the following?
respiratory distress
The American Academy of Pediatrics and the American Dietetic Association recommend breastfeeding exclusively for how long?
the first 6 months
The nurse is caring for an infant born to a mother who abused cocaine during her pregnancy. Which of the following characteristics would the nurse likely see in this infant?
the infant cries when touched
The nurse is caring for a newborn of a substance abusing mother who is withdrawing from alcohol. Which of the following would the nurse likely see in this newborn?
the newborn is hyperactive and irritable
Which respiratory disorder in a neonate is usually mild and runs a self-limited course?
transient tachypnea
A meconium plug is an extremely hard portion of meconium that has completely blocked the intestinal lumen, causing bowel obstruction.
true
Babies of mothers with human immunodeficiency virus (HIV) infection should have a thorough bath immediately after birth to decrease the possibility of HIV transmission.
true
A 36-week neonate born weighing 1,800 g has microcephaly and microophthalmia. Based on these findings, which risk factor might be expected in the maternal history?
use of alcohol
The nurse is working with new parents who have recently immigrated to the United States. The nurse is not familiar with the family's cultural background. Which approach is most appropriate when discussing the newborn?
"Could you explain your preferences regarding childrearing?"
The nurse is discussing parent-infant attachment with a prenatal class. Which statement indicates that teaching was successful?
"Giving the baby his first bath can really give me a chance to get to know him."
A postpartum client calls the nursery to report that her newborn's umbilical cord stump is draining, and has a foul odor. What is the nurse's best response?
"Take your newborn to the pediatrician."
The nurse is planning home visits to the homes of new parents and their newborns. Which client should the nurse see first?
6-day-old female with greenish discharge from the umbilical cord site
A new mother is alarmed because her newborn has lost 10 ounces in weight since being born 2 days ago. She believes that she has been breastfeeding properly. Which of the following should the nurse mention as likely causes of this phenomenon? (Select all that apply.)
• Absence of salt- and fluid-retaining maternal hormones • The infant's voiding and passing stool • Low calorie content of colostrum
When performing Ortolani's maneuver, which of the following should occur? Select all that apply.
• Attempt to abduct the hips 180 degrees while applying upward pressure. • The newborn should be in a supine position.
A mother brings her 1-month-old daughter in for a visit to the doctor's office and mentions that her daughter tends to tilt her head to one side and rotates her chin to the opposite side. The nurse explains that this is a condition called torticollis and explains the interventions that are commonly used to correct this condition. Which of the following should she mention to the mother? (Select all that apply.)
• Feeding the child in such a way as to cause her to look toward the affected shoulder • Placing a mobile on the child's crib on the affected side • Performing passive stretching exercises
When assessing a newborn's gestational age, the nurse evaluates which of the following parameters to indicate physical maturity? Select all that apply.
• Genitals • Lanugo
Which of the following findings would the nurse identify as normal when assessing a newborn? Select all that apply.
• Length of 54 cm • Weight of 3,300 grams • Temperature of 37 degrees C
A woman who has a history of cocaine abuse gives birth to a newborn. Which of the following would the nurse expect to assess in the newborn? Select all that apply.
• Piercing cry • Poor sucking • Inconsolable