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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is not an indicator of appropriate neurological development. Appropriate weight is a measure of the physical growth and nutritional status of the baby. It is influenced by the baby's genetics, gestational age, birth weight, feeding habits, and health conditions. Appropriate weight does not reflect the baby's brain development or function.
Choice B reason: This is not an indicator of appropriate neurological development. Vernix caseosa is a white, cheesy substance that covers the skin of the baby in the womb. It protects the skin from the amniotic fluid and helps with temperature regulation and infection prevention. Vernix caseosa is mostly shed before or during birth, and does not relate to the baby's brain development or function.
Choice C reason: This is not an indicator of appropriate neurological development. Presence of lanugo is a fine, soft hair that covers the body of the baby in the womb. It helps to keep the baby warm and hold the vernix caseosa on the skin. Presence of lanugo is usually lost before or shortly after birth, and does not indicate the baby's brain development or function.
Choice D reason: This is the best answer. Expected reflexes are involuntary movements or responses that the baby makes in reaction to certain stimuli. They are controlled by the nervous system and indicate the baby's brain development and function. Expected reflexes include the rooting, sucking, grasping, Moro, and Babinski reflexes. The nurse should assess the presence, strength, and symmetry of these reflexes during the well-baby check.
Correct Answer is A
Explanation
Choice A reason: This is the best answer. Role performance is the way that the client fulfills their expected roles in society, such as worker, parent, spouse, student, etc. It is influenced by the client's role expectations, role conflicts, role strain, and role changes. A client who has lost their job may experience a role change that affects their role performance. They may feel a loss of identity, purpose, or status. They may also face financial, emotional, or social challenges that impact their role performance.
Choice B reason: This is not the correct concept. Body image is the way that the client perceives and feels about their physical appearance, structure, or function. It is influenced by the client's age, gender, culture, health, and media. A client who has lost their job may not have a significant change in their body image, unless their job loss is related to a physical condition or injury.
Choice C reason: This is not the correct concept. Self-image is the way that the client perceives and describes themselves. It includes the client's physical, psychological, social, and spiritual attributes. It is influenced by the client's self-esteem, self-efficacy, and self-awareness. A client who has lost their job may have a change in their self-image, but it is not the main concept that they are struggling with. Their self-image may be affected by their role performance, but not vice versa.
Choice D reason: This is not the correct concept. Self-awareness is the ability of the client to recognize and understand their own feelings, thoughts, and behaviors. It is influenced by the client's self-reflection, self-evaluation, and feedback from others. A client who has lost their job may have a change in their self-awareness, but it is not the primary concept that they are struggling with. Their self-awareness may help them cope with their role performance, but not determine it.
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