The nurse assessing the premature infant would expect to observe: (Select all that apply.)

a. Firm muscle tone
b. When lying in prone position, the pelvis is low with the hips flexed and abducted
c. When lying in the supine position, the limbs are flexed
d. The hand can reach well past the point of the shoulder (acromion)
e. The knees are drawn up under the abdomen when placed on the stomach


B, D
A low pelvis with the hips flexed and abducted, and a positive scarf sign are indicators of prematurity.

Nursing

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