The nurse is working with a student nurse during assessment of a 2-hour-old newborn. Which action indicates that the student nurse understands neonatal assessment?
1. The student nurse listens to bowel sounds then assesses the head for skull consistency and size and tension of fontanelles.
2. The student nurse checks for Ortolani's sign, then palpates the femoral pulse, then assesses respiratory rate.
3. The student nurse determines skin color, then describes the shape of the chest and looks at structures and flexion of the feet.
4. The student nurse counts the number of cord vessels, then assesses genitals, then sclera color and eyelids.
3
Explanation: 3. Neonatal assessment proceeds in a head-to-toe fashion.
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