A nurse is assessing an older adult client’s mouth.

The nurse should identify that which of the following is an expected variation for this client?

White patches on the tongue

Bleeding of the gums

Darkening of the mucosa

Red spots on the hard palate.

Answer and Explanation

The Correct Answer is D

Darkening of the mucosa. This is an expected variation for an older adult client because the melanin production increases with age.

Some possible explanations for the other choices are:

• Choice A. White patches on the tongue could indicate candidiasis, an oral fungal infection.

• Choice B. Bleeding of the gums could indicate gingivitis, periodontitis, or vitamin C deficiency.

• Choice C. Red spots on the hard palate could indicate petechiae, which are small hemorrhages caused by trauma, infection, or bleeding disorders.

Normal ranges for oral mucosa color vary depending on the skin tone and ethnicity of the client. Generally, the oral mucosa should be pink and moist without lesions or discolorations.

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Correct Answer is ["A","B","C","E"]

Explanation

Swaddling, pacifiers, gentle touch and music therapy are all non-pharmacological interventions that can help soothe a newborn during an assessment.

These methods can provide comfort, security, distraction and stimulation for the newborn.

Choice D is wrong because glucose water is a pharmacological intervention that can be used to reduce pain during procedures such as heel sticks or circumcision.Glucose water should not be given routinely to newborns as it can interfere with breastfeeding and cause electrolyte imbalances.

: PN maternal newborn practice B Flashcards | Quizlet: Maternal Newborn Alternate Item Format Quiz Flashcards | Quizlet: NCLEX-maternity and newborn Flashcards | Quizlet

A. Thin and transparent skin B. Well-developed breast buds C. Creases on the bottom of feet D. Developed labia.

Correct Answer is A

Explanation

Thin and transparent skin is a sign of prematurity in newborns.The New Ballard Scale is a scale that estimates the gestational age of a newborn infant based on physical and neuromuscular characteristics.

The other choices are signs of maturity or postmaturity in newborns:

• Choice B: Well-developed breastbuds indicate a gestational age of 38 to 44 weeks.

• Choice C: Creases on the bottom of feet indicate a gestational age of 32 to 44 weeks.

• Choice D: Developed labia indicate a gestational age of 40 to 44 weeks.

The normal range for gestational age is 37 to 42 weeks.Premature infants are those born before 37 weeks, and postmature infants are those born after 42 weeks.

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A nurse is assessing an older adult client’s mouth. The nurse should identify that which of the following is an expected variation for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Select all that apply. A nurse is providing comfort measures to a newborn during an assessment. What non-pharmacological interventions can the nurse use to soothe the newborn?

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is assessing a newborn's gestational age using the New Ballard Scale. Which of the following signs would indicate prematurity?

Correct Answer is A

Explanation

A nurse is assessing an older adult client’s mouth. The nurse should identify that which of the following is an expected variation for this client?

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A nurse is performing a head-to-toe assessment of a newborn. What finding should alert the nurse to a potential problem with the newborn’s fontanelles?

A nurse is performing the physical maturity test on a newborn using the New Ballard Scale. What characteristic would the nurse assess?

A nurse is assessing an older adult client’s mouth.

The nurse should identify that which of the following is an expected variation for this client?