A nurse is assessing a newborn and evaluating for developmental dysplasia of the hip (DDH). What assessment finding would indicate DDH?

Inwardly turned foot on the affected side.

Gluteal folds are asymmetrical.

Absence of Babinski sign.

Absence of stepping reflex.

Answer and Explanation

The Correct Answer is B

Choice B rationale

Asymmetrical gluteal folds are a common sign of developmental dysplasia of the hip (DDH). This occurs because the hip joint is not properly aligned, causing uneven skin folds.

Choice A rationale

An inwardly turned foot is not a sign of DDH. It may indicate a different condition such as clubfoot.

Choice C rationale

The absence of the Babinski sign is not related to DDH. The Babinski sign is a reflex test used to assess neurological function.

Choice D rationale

The absence of the stepping reflex is not related to DDH. The stepping reflex is a normal newborn reflex that disappears after a few months.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

“The glans penis will appear red and have a yellow crust as it heals. Do not remove this.”
- Essential: This is a normal part of the healing process.
“Ensure the diaper is really tight to keep the gauze attached to the penis.”
- Contraindicated: The diaper should be loose to avoid pressure on the circumcision site.
“Notify your pediatrician if your baby has not voided in 24 hours.”
- Essential: This could indicate a problem that needs medical attention.
“Coat the glans penis with petroleum jelly and cover with gauze.”
- Essential: This helps prevent the diaper from sticking to the circumcision site and aids in healing.
“Check for bleeding every 4 hours for the first 24 hours and notify your pediatrician if there is bleeding at the circumcision site.”
- Essential: Monitoring for bleeding is crucial to ensure there are no complications.

A. Small for gestational age (SGA). B. Appropriate (average) for gestational age (AGA). C. Low birth weight. D. Large for gestational age (LGA).

Correct Answer is B

Explanation

Choice A rationale

Small for gestational age (SGA) refers to newborns whose birth weight is below the 10th percentile for their gestational age.

Choice B rationale

Appropriate for gestational age (AGA) refers to newborns whose birth weight is between the 10th and 90th percentiles for their gestational age. A newborn weighing 3350 g at 39 weeks gestation falls within this range.

Choice C rationale

Low birth weight is defined as a birth weight of less than 2500 g, which does not apply to this newborn.

Choice D rationale

Large for gestational age (LGA) refers to newborns whose birth weight is above the 90th percentile for their gestational age.

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A nurse is assessing a newborn and evaluating for developmental dysplasia of the hip (DDH). What assessment finding would indicate DDH?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

A nurse is caring for a newborn who was born at 39 weeks gestation and weighs 3350 g. Based on the weight and gestational age, what is the most appropriate way to document the findings?

Correct Answer is B

Explanation

The nurse is preparing to teach the postpartum mom about newborn feeding cues.Which of the following behaviors of the infant would be considered early hunger cues? Select all that apply.

A nurse is completing the admission assessment of a newborn.Which of the following anatomical landmarks should the nurse use when measuring the newborn’s chest circumference?

A nurse is assessing a newborn and evaluating for developmental dysplasia of the hip (DDH). What assessment finding would indicate DDH?

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