Which action should the nurse take if a discrepancy is found between the measurements of a newborn and the normative criteria?
a. Remeasure the infant.
b. Consider this a normal deviation.
c. Perform an expanded assessment.
d. Inform the parents so that they can follow the infant's growth.
ANS: C
An expanded assessment is necessary to look for data to verify the measurements of the infant. Remeasuring the infant is helpful but an expanded assessment would be a better action. A discrepancy is not a normal deviation. An expanded assessment is needed first so as not to alarm the parents unnecessarily.
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