A macrosomic infant in the newborn nursery is being observed for a possible fractured clavicle. For which would the nurse assess? Select all that apply.

asymmetrical movement

bruising over area

edema present

facial grimacing with movement

positive Babinski reflex

Answer and Explanation

Correct Answer : A,B,C,D

A.   Asymmetrical movement may indicate discomfort or restricted mobility due to a fractured clavicle.
B.   Bruising over the area of the clavicle may suggest trauma and could be associated with a fracture.
C.   Edema (swelling) over the fractured clavicle may be present due to inflammation and tissue injury.
D.   Facial grimacing with movement could indicate pain or discomfort associated with a fractured clavicle.
E.   A positive Babinski reflex is unrelated to a fractured clavicle and would not be directly assessed for this condition.

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Correct Answer is ["C","D","E"]

Explanation

A. Providing praise when deserved is important for reinforcing positive behavior and fostering self-esteem.
B. Speaking to the child as an authority figure may create distance and hinder effective communication.
C. Talking face to face and being aware of body language can enhance communication and understanding between parents and adolescents.
D. Acknowledging uncertainty and not pretending to have all the answers can foster honesty and openness in communication.
E. Asking questions to understand the adolescent's perspective and feelings encourages dialogue and mutual understanding.
F. Admitting mistakes and modeling accountability is important for building trust and demonstrating humility in parent-adolescent relationships.

A. birthweight of 7 lb, 14 oz (3,572 g) B. strong, brisk motor skills C. difficulty in arousing to a quiet alert state D. wasted appearance of extremities

Correct Answer is C

Explanation

A. A birthweight above the 90th percentile for gestational age is characteristic of large-for-gestational-age newborns. The above birth weight is within the normal ranges.
B. Strong, brisk motor skills are not necessarily indicative of being large-for- gestational-age.
C. Large-for-gestational-age newborns. They may have difficulty in arousing to a quiet alert state due to hypoglycemia, hypocalcemia, or polycythemia.
D. A wasted appearance of extremities is more indicative of intrauterine growth restriction (IUGR) rather than being large-for-gestational-age. LGA newborns typically have plump and rosy appearance.

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A macrosomic infant in the newborn nursery is being observed for a possible fractured clavicle. For which would the nurse assess? Select all that apply.

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Naxlex Comprehensive Predictor Exams

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