The nurse completes a physical assessment of a newborn. Which finding should the nurse identify as being abnormal?
A) Abdomen slightly protuberant
B) Clear drainage at the base of the umbilical cord
C) Bowel sounds present at two to three per minute
D) Liver palpable 2 cm under the right costal margin
B
Feedback:
The base of the cord should not appear wet. A moist or odorous cord can indicate an infection or a patent urachus that will drain urine at the cord site until it is surgically repaired. Normal newborn abdominal assessment findings include slightly protuberant in shape, presence of bowel sounds, and 2 cm of the liver palpable under the right costal margin.
You might also like to view...
A nurse monitors all newborns in the NICU for hypoglycemia. Which manifestations could indicate hypoglycemia in one of the babies? (Select all that apply.)
A. Apneic episodes B. None (asymptomatic) C. Eye rolling D. Lethargy E. Palmar sweating
A client with scabies has been prescribed a scabicide. Which of the following advice should the nurse give the client before beginning the treatment?
A) Wear clean clothing. B) Avoid contact with others who have scabies. C) Expect itching to continue for 2 to 3 weeks after the treatment. D) Have a thorough bath.
The nurse notes a forward-tilted uterus with a downward-tilted cervix when examining a female client. The nurse would correctly document which of the following findings in this situation?
1. Anteflexion 2. Retroflexion 3. Anteversion 4. Midposition
A nurse is taking care of a client during the immediate post-operative period. Which of the following duties performed during the immediate post-operative period is most important?
A) Ensure the safe recovery of surgical clients. B) Monitor the client for complications. C) Prepare a room for the client's return. D) Assess the client's health constantly.