A nurse is caring for a client who is at 42 weeks of gestation and is in labor.
The client asked the nurse what to expect because the baby is postmature.
Which of the following statements should the nurse make?
Your baby will have excess body fat
Your baby will have flat areola without breast buds
Your babies heels will easily move to his ears
Your baby skin will have a leathery appearance.
The Correct Answer is D
This is because postmature babies lose the protective vernix that covers their skin in utero, and their skin becomes dry and cracked. Postmature babies also have less subcutaneous fat, which makes them look thin and wrinkled.
Choice A is wrong because postmature babies have less body fat than term babies, not more. They use up their fat stores to survive in the womb beyond 42 weeks of gestation.
Choice B is wrong because postmature babies have well-developed breast buds and areola, not flat ones. Breast development is a sign of fetal maturity that occurs around 36 weeks of gestation.
Choice C is wrong because postmature babies have less flexibility in their joints and muscles, not more. They have less amniotic fluid to cushion their movements, and their bones become more ossified as they grow older.
Normal ranges for gestational age are 37 to 42 weeks. Babies born before 37 weeks are considered preterm, and babies born after 42 weeks are considered postmature.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Reticulocyte count 2%.
A reticulocyte count measures the percentage of immature red blood cells (RBCs) in the blood.A low reticulocyte count indicates that the bone marrow is not producing enough RBCs, which is a characteristic feature of anemia of prematurity (AOP).A normal reticulocyte count for preterm infants is 3-6%.
Choice A is wrong because hemoglobin 10 g/dL is within the normal range for preterm infants.
Hemoglobin is the protein in RBCs that carries oxygen.
A low hemoglobin level indicates anemia.
Choice B is wrong because hematocrit 30% is within the normal range for preterm infants.
Hematocrit is the percentage of blood volume that is occupied by RBCs.
A low hematocrit level indicates anemia.
Choice D is wrong because platelet count 150,000/mm3 is within the normal range for preterm infants.
Platelets are cell fragments that help with blood clotting.
A low platelet count indicates thrombocytopenia, which is a different condition from anemia.
Correct Answer is A
Explanation
Absent Moro reflex on the affected side indicates a possible injury to the brachial plexus, which is the nerve network that controls the movements and sensations of the shoulder, arm, hand and fingers.Shoulder dystocia can cause brachial plexus injuries when the baby’s shoulder gets stuck behind the mother’s pubic bone during delivery.
Choice B is wrong because flaccid paralysis of both lower extremities is not a common complication of shoulder dystocia.
It could be a sign of spinal cord injury or other neurological disorders.
Choice C is wrong because facial asymmetry when crying or smiling is a sign of facial nerve palsy, which can occur due to compression of the facial nerve during delivery.
It is not specific to shoulder dystocia.
Choice D is wrong because inability to suck or swallow is not a typical sign of shoulder dystocia.
It could be caused by other factors such as prematurity, neurological problems, or congenital anomalies.
Normal ranges for Moro reflex are present at birth and disappear by 4 to 6 months of age.
Normal ranges for facial nerve function are symmetrical movements of both sides of the face.
Normal ranges for sucking and swallowing are coordinated and effective feeding within the first hour after birth.
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