The nurse is assessing a newborn a few minutes after birth. The neonate has overlapping anterior fontanelles and suture lines. The best nursing action is to:
1. Contact the physician immediately.
2. Verify the presence of lanugo.
3. Document the findings.
4. Assess for rectal patency.
3
Rationale:
1. There is no need to contact the physician. Overlapping fontanels and sutures are a common variation of normal.
2. Lanugo is not related to overlapping fontanels and sutures, which are a common variation of normal.
3. Because overlapping fontanels and sutures are a common variation of normal, documenting the findings is appropriate.
4. Rectal patency is not related to overlapping fontanels and sutures, which are a common variation of normal.
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