A nurse is collecting data from a newborn who is 1 hr old and was born at 43 weeks of gestation. Which of the following findings should the nurse expect? (Select all that apply.)
Dry, cracked skin
Hypotonia
Excessive lanugo
Absent vernix
Long, hard nails
Correct Answer : B,C,E
A) Incorrect- Dry, cracked skin is not typically associated with a newborn born at 43 weeks of gestation. It's more common in post-term babies.
B) Correct - Hypotonia (low muscle tone) is a possible finding in post-term newborns due to the aging placenta and potential decrease in amniotic fluid.
C) Correct - Excessive lanugo (fine, downy hair) is more likely to be present in post-term babies as they have less vernix to protect their skin.
D) Incorrect- Absent vernix might be more characteristic of a post-term newborn, but its presence or absence varies widely.
E) Correct - Long, hard nails can be a characteristic of post-term babies, as they have had more time for nail growth in the womb.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct - Group B streptococcus (GBS) screening is typically performed around 36 weeks of gestation to identify colonization. It helps determine whether antibiotic prophylaxis is necessary during labor to prevent transmission to the newborn.
B) Incorrect- Producing a clean catch urine specimen every 2 months is not a standard recommendation during pregnancy. Urine testing is common but does not usually occur this frequently.
C) Incorrect- Maternal serum alpha-fetoprotein screening is typically done around 15-20 weeks of gestation, not 6 weeks.
D) Incorrect- Screening for gestational diabetes typically occurs between 24 and 28 weeks of gestation, not 12 weeks.
Correct Answer is D
Explanation
A) Incorrect- Having a high-fat snack before bed might exacerbate nausea. It's generally recommended to have a light snack if needed.
B) Incorrect- Eating small, frequent snacks between meals can help manage nausea by preventing an empty stomach.
C) Incorrect- Drinking water with meals might not necessarily help with nausea and might worsen the feeling of fullness.
D) Correct - "Eat a slice of dry toast before getting out of bed" can help alleviate morning sickness in the first trimester. Eating a small, bland snack before rising can prevent an empty stomach, which can contribute to nausea.
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