As the nurse conducts an assessment on a newborn infant, what finding will the nurse anticipate?
Closed fontanels
Lanugo
Fine motor control
Six to eight teeth
The Correct Answer is B
Choice A reason: This is not a finding that the nurse will anticipate. Closed fontanels are the absence of soft spots on the skull where the bones have not yet fused together. They are abnormal and unexpected in newborn infants, as they indicate a premature closure of the skull bones, which can affect the brain development and growth. The nurse should assess the presence, size, shape, and tension of the fontanels, and report any abnormalities to the physician.
Choice B reason: This is the best answer. Lanugo is a fine, soft hair that covers the body of the fetus in the womb. It helps to keep the fetus warm and hold the vernix caseosa on the skin. Lanugo is normal and expected in newborn infants, especially those born before 40 weeks of gestation. The nurse should observe the amount and distribution of lanugo, and expect it to be shed within the first few weeks of life.
Choice C reason: This is not a finding that the nurse will anticipate. Fine motor control is the ability to coordinate the movements of the small muscles of the hands and fingers. It is not well developed in newborn infants, as they have not yet acquired the skills and coordination to manipulate objects or perform complex tasks. The nurse should assess the grasp reflex and the spontaneous movements of the hands and fingers, and expect them to improve over time.
Choice D reason: This is not a finding that the nurse will anticipate. Six to eight teeth are the number of teeth that usually erupt in infants between 6 and 12 months of age. They are not present in newborn infants, as they have not yet developed the teeth buds or the ability to chew solid foods. The nurse should inspect the gums and the oral cavity, and educate the parents on the oral hygiene and feeding practices for infants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This is not the correct answer. Depression is a mental disorder that affects the mood, thoughts, and behavior of the client. It causes persistent feelings of sadness, hopelessness, or emptiness, as well as loss of interest, motivation, or pleasure in activities. Depression may cause some physical symptoms, such as fatigue, insomnia, or weight changes, but it does not cause dry eyes or frequent urination.
Choice B reason: This is not the correct answer. Fibromyalgia is a chronic condition that affects the muscles, joints, and nerves of the client. It causes widespread pain, stiffness, and tenderness, as well as fatigue, sleep problems, and cognitive difficulties. Fibromyalgia may cause some symptoms that overlap with menopause, such as dry eyes or weight gain, but it does not cause frequent urination.
Choice C reason: This is the best answer. Menopause is the natural transition that occurs when the ovaries stop producing eggs and hormones, such as estrogen and progesterone. It causes the menstrual cycle to end, and the client to experience various physical and emotional changes. Menopause may cause symptoms such as dry eyes, fatigue, poor sleep patterns, weight gain, and frequent urination, as well as hot flashes, night sweats, mood swings, and vaginal dryness.
Choice D reason: This is not the correct answer. Dehydration is a condition that occurs when the body loses more fluid than it takes in. It causes the blood volume and pressure to drop, and the body to function less efficiently. Dehydration may cause symptoms such as fatigue, dry mouth, headache, and dizziness, but it does not cause dry eyes, weight gain, or frequent urination. In fact, dehydration may cause the opposite of frequent urination, which is reduced or dark urine.
Correct Answer is A
Explanation
Choice A reason: This is the best answer. Apgar score is a quick and simple assessment that evaluates the newborn's appearance, pulse, grimace, activity, and respiration. It is done at 1 minute and 5 minutes after birth, and sometimes at 10 minutes if needed. It helps to determine the newborn's condition and need for resuscitation or medical intervention.
Choice B reason: This is not the correct answer. Blood pressure reading is a measurement of the force of the blood against the walls of the arteries. It is not routinely done on newborns, unless there is a suspicion of a cardiac or renal problem. It is usually done after the first 24 hours of life, and then as indicated by the newborn's condition.
Choice C reason: This is not the correct answer. Head and chest circumference are measurements of the size and shape of the newborn's head and chest. They are done once within the first 24 hours of life, and then as indicated by the newborn's condition. They help to monitor the newborn's growth and development, and to detect any abnormalities or asymmetries.
Choice D reason: This is not the correct answer. Respiratory and abdominal assessment are examinations of the newborn's breathing and digestion. They are done once within the first 24 hours of life, and then as indicated by the newborn's condition. They help to evaluate the newborn's lung and bowel function, and to identify any signs of distress or complications.
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