During the complete physical examination 24 hours after birth:
a. The parents are excused to reduce their normal anxiety.
b. The nurse can gauge the neonate's ma-turity level by assessing the infant's gen-eral appearance.
c. Once often neglected, blood pressure is now routinely checked.
d. When the nurse listens to the heart, the S1 and S2 sounds can be heard; the first sound is somewhat higher in pitch and sharper than the second.
ANS: B
The nurse will be looking at skin color, alertness, cry, head size, and other features. The parents' presence actively involves them in child care and gives the nurse a chance to observe interactions. Blood pressure is not usually taken unless cardiac problems are suspected. The second sound is higher and sharper than the first.
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