A nurse is performing a gestational age assessment on a newborn. The nurse determines that the newborn is "term" if which findings are assessed? (Select all that apply.)
a. Posture with fully flexed arms and legs
b. Arm recoil brisk
c. Square window at 90 degrees
d. Scarf sign of elbow crossing over the midline
e. Popliteal angle less than 90 degrees
ANS: A, B, E
A term newborn will have a posture that is fully flexed (arms and legs) and a brisk arm recoil. The popliteal angle in a term infant is less than 90 degrees. The square window should show no angle, the hand should lie flat on the ventral surface of the arm in the term newborn. In a term newborn, the elbow should not cross the midline during assessment of the scarf sign.
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