The nurse is using the New Ballard Score to assess the gestational age of a newborn delivered 4 hours ago. The infant's gestational age is 33 weeks based on early ultrasound and last menstrual period
The nurse expects the infant to exhibit which of the following? 1. Full sole creases, nails extending beyond the fingertips, scarf sign showing the elbow beyond the midline
2. Testes located in the upper scrotum, rugae covering the scrotum, vernix covering the entire body
3. Ear cartilage folded over, lanugo present over much of the body, slow recoil time
4. 1 cm breast bud, peeling skin and veins not visible, rapid recoil of legs and arms to extension
3
Explanation: 3. Ear cartilage folded over, lanugo present over much of the body, and slow recoil time are all characteristics of a preterm infant.
You might also like to view...
An adolescent is scheduled for outpatient arthroscopic surgery on his knee next week. As part of preparing him for the procedure, which action would be most appropriate?
A) Discussing the events with the adolescent and his mother upon arrival the morning of the procedure B) Providing detailed explanations of the procedure at least a week in advance of the procedure C) Encouraging the parent to stay with the adolescent as much as possible before the procedure D) Answering the adolescent's questions with simple answers, encouraging him to ask the surgeon
Total-body irradiation is indicated for what reason?
a. Palliative care b. Lymphoma therapy c. Definitive therapy for leukemia d. Preparation for bone marrow transplant
When administering corticosteroids to a child with rheumatic fever, what should the nurse recognize as an important aspect of giving this classification of medications for this diagnosis?
A) The drug should be stopped gradually by giving decreasing dosages B) The drug will be given for the rest of the child's life C) The drug should be taken for a full course, usually 10 days D) The drug should be taken using a metered-dose inhaler
The nurse is teaching a patient with myasthenia gravis how to recognize a cholinergic crisis. What manifestations should the nurse include in this teaching? (Select all that apply.)
a. Diarrhea b. Salivation c. Vomiting d. Difficulty speaking e. Abdominal cramping f. Increased bronchial secretions