The nurse assesses the gestational age of a newborn and informs the parents that the newborn is premature. All of the following assessment findings are congruent with prematurity except:

1. Cry is weak and feeble.
2. Clitoris and labia minora are prominent.
3. Strong sucking reflex.
4. Lanugo is plentiful.


3
Rationale 1: Findings that indicate prematurity include a weak cry.
Rationale 2: Findings that indicate prematurity include a prominent clitoris and labia minora.
Rationale 3: A strong sucking reflex is found in normal term newborns.
Rationale 4: Findings that indicate prematurity include lanugo that is plentiful and widely distributed.

Nursing

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