A nurse assesses the gestational age of a newborn. She explains to 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. Assessment findings that indicate prematurity include weak cry, lanugo that is plentiful and widely distributed, and a prominent clitoris and labia minora.
2. Assessment findings that indicate prematurity include weak cry, lanugo that is plentiful and widely distributed, and a prominent clitoris and labia minora.
3. A strong sucking reflex is found in normal term newborns. Assessment findings that indicate prematurity include weak cry, lanugo that is plentiful and widely distributed, and a prominent clitoris and labia minora.
4. Assessment findings that indicate prematurity include weak cry, lanugo that is plentiful and widely distributed, and a prominent clitoris and labia minora.
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