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.
You might also like to view...
A nurse is caring for a client who is having a subclavian central venous catheter inserted. The client begins to report chest pain and difficulty breathing. After administering oxygen, which action should the nurse take next?
a. Administer a sublingual nitroglycerin tablet. b. Prepare to assist with chest tube insertion. c. Place a sterile dressing over the IV site. d. Re-position the client into the Trendelenburg position.
When analyzing the development of nursing education for a research paper, the nursing student notes that certain factors have been important contributors to the current system of nursing education in this country, including (Select all that apply.)
a. changing demographics. b. cost of education. c. historical events. d. societal health care needs. e. women's roles.
When completing a neurologic examination on a client, which question is most essential to evaluate the accuracy of the data?
A) When, if any, was your last narcotic use? B) Do you have any history of forgetfulness? C) Have you been diagnosed with any mental health issues? D) Have you experienced any unusual sensations?
The purpose of strategic management is to (select all that apply):
a. ensure customer satisfaction. b. establish a competitive position. c. reach strategic objectives or goals. d. develop the organizational mission. e. provide a "blueprint" for operating a business.