A nurse is performing a newborn assessment and notes depressed fontanels.
Which of the following is true regarding depressed fontanels in newborn assessment?

Depressed fontanelles are only seen in premature newborns.

Depressed fontanelles indicate infection.

Depressed fontanelles are a sign of dehydration.

Depressed fontanelles are a normal finding in newborns.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Depressed fontanelles are not exclusive to premature newborns. They can occur in both premature and full-term infants and are not an indicator of prematurity.

Choice B rationale

Depressed fontanelles do not indicate infection. Infections in newborns typically present with other symptoms such as fever, irritability, and poor feeding.

Choice C rationale

Depressed fontanelles are a sign of dehydration in newborns. When a newborn is dehydrated, the fontanelles can appear sunken due to the lack of fluid in the body.

Choice D rationale

Depressed fontanelles are not a normal finding in newborns. Normally, fontanelles should be flat or slightly curved inward. A depressed fontanelle is a clinical sign that requires further evaluation and intervention.

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Correct Answer is A

Explanation

Choice A rationale

The Babinski reflex is elicited by stroking the outer edge of the sole of the newborn’s foot, moving up toward the toes. This causes the big toe to move upward and the other toes to fan out.

Choice B rationale

Turning the newborn’s head quickly to one side is used to elicit the tonic neck reflex, not the Babinski reflex.

Choice C rationale

Holding the newborn vertically and allowing one foot to touch the table surface is used to elicit the stepping reflex, not the Babinski reflex.

Choice D rationale

Clapping near the crib and making a loud noise is used to elicit the startle (Moro) reflex, not the Babinski reflex.

A. Bottles can be put in the dishwasher, boiled, or cleaned with hot soapy water. B. Hold the baby in a supine position during feedings. C. Only burp the baby after they have finished the entire feeding. D. Do not prop the bottle. E. Keep the nipple full of formula throughout the feeding. F. Prepared formula can be kept in the refrigerator for 48 hours.

Correct Answer is ["A","D","E","F"]

Explanation

Choice A rationale

Bottles can be put in the dishwasher, boiled, or cleaned with hot soapy water to ensure they are thoroughly sanitized and safe for the infant.

Choice B rationale

Holding the baby in a supine position during feedings is incorrect because it increases the risk of aspiration. The baby should be held in a semi-upright position.

Choice C rationale

Only burping the baby after they have finished the entire feeding is incorrect because it can lead to discomfort and gas buildup. The baby should be burped during and after feedings.

Choice D rationale

Always holding the bottle while feeding and not propping the bottle is correct as it prevents choking and ensures the baby is feeding safely.

Choice E rationale

Keeping the nipple full of formula throughout the feeding is correct as it prevents the baby from swallowing air, which can cause gas and discomfort.

Choice F rationale

Prepared formula can be kept in the refrigerator for 48 hours, ensuring it remains safe and free from bacterial growth.

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A nurse is performing a newborn assessment and notes depressed fontanels.Which of the following is true regarding depressed fontanels in newborn assessment?

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Naxlex Comprehensive Predictor Exams

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Explanation

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A nurse is performing a newborn assessment and notes depressed fontanels.
Which of the following is true regarding depressed fontanels in newborn assessment?