Before the nurse begins to dry the newborn off after birth, which assessment finding should be documented to ensure an accurate gestational rating on the Ballard gestational assessment tool?
1. Size of the areolae
2. Creases on the sole
3. Body surface temperature
4. Amount and area of vernix coverage
4
Explanation:
1. Size of the areolae is not affected by drying of the newborn.
2. Creases on the sole are not affected by drying of the newborn.
3. Body surface temperature is not part of the Ballard gestational assessment tool.
4. Drying the baby after birth will disturb the vernix and potentially alter the score when using the Ballard gestational assessment tool. The nurse first should document the amount and coverage of the vernix before drying the newborn.
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