The nurse is making an initial assessment of the newborn. Which of the following data would be considered normal?
1. Chest circumference 31.5 cm, head circumference 33.5 cm
2. Chest circumference 30 cm, head circumference 29 cm
3. Chest circumference 38 cm, head circumference 31.5 cm
4. Chest circumference 32.5 cm, head circumference 36 cm
1
Rationale:
1. The average circumference of the head at birth is 32–37 cm. Average chest circumference ranges from 30 to 35 cm at birth. The circumference of the head is approximately 2 cm greater than the circumference of the chest at birth. Answer 1 is the only choice in which both the chest and head circumferences fall within the norm in terms of actual size and comparable size.
2. The average circumference of the head at birth is 32–37 cm. Average chest circumference ranges from 30 to 35 cm at birth. The circumference of the head is approximately 2 cm greater than the circumference of the chest at birth. Answer 1 is the only choice in which both the chest and head circumferences fall within the norm in terms of actual size and comparable size.
3. The average circumference of the head at birth is 32–37 cm. Average chest circumference ranges from 30 to 35 cm at birth. The circumference of the head is approximately 2 cm greater than the circumference of the chest at birth. Answer 1 is the only choice in which both the chest and head circumferences fall within the norm in terms of actual size and comparable size.
4. The average circumference of the head at birth is 32–37 cm. Average chest circumference ranges from 30 to 35 cm at birth. The circumference of the head is approximately 2 cm greater than the circumference of the chest at birth. Answer 1 is the only choice in which both the chest and head circumferences fall within the norm in terms of actual size and comparable size.
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