The nurse is conducting an admission assessment for a newborn client. Which physical findings suggest the newborn is preterm? Select all that apply
1. The ear pinna quickly returns to original position after being bent manually.
2. The infant's resting position is tightly flexed.
3. Labia are widely separated with clitoris prominent.
4. Breast area is barely perceptible with flat areola, no bud.
5. Sole creases do not extend the length of the foot.
3, 4, 5
Explanation:
1. This finding is associated with fetal maturity.
2. This finding is associated with fetal maturity. A preterm baby will rest with arms and legs extended.
3. The labia cover the perineal area, including the clitoris for a term newborn.
4. This is an indication of immaturity associated with the prematurity.
5. This is an indication of prematurity.
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