The nurse completing a gestational exam using the Ballard assessment tool understands that this assesses which two maturity components?
Physical and Behavioral.
Behavioral and Reflexive.
Neuromuscular and Physical.
Reflexive and Neuromuscular.
The Correct Answer is C
A. The Ballard tool does not assess behavioral maturity directly.
B. The reflexes are part of the neuromuscular system, but the tool assesses both neuromuscular and physical maturity.
C. The Ballard assessment tool evaluates both neuromuscular maturity (such as posture, square window sign, arm recoil) and physical maturity (such as skin, ear form, breast tissue) in neonates to assess gestational age.
D. Reflexes are part of neuromuscular maturity, but the tool combines both neuromuscular and physical components.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hormone loss doesn’t directly contribute to early weight loss.
B. Breastfed newborns often lose weight in the first few days after birth due to insufficient milk intake from infrequent or short feedings. The nurse should assess feeding patterns and encourage feeding every 2-3 hours.
C. Water supplements are unnecessary and can interfere with breastfeeding.
D. Frequent stools are normal and usually not a significant cause of excessive weight loss.
Correct Answer is C
Explanation
A. The Ballard tool does not assess behavioral maturity directly.
B. The reflexes are part of the neuromuscular system, but the tool assesses both neuromuscular and physical maturity.
C. The Ballard assessment tool evaluates both neuromuscular maturity (such as posture, square window sign, arm recoil) and physical maturity (such as skin, ear form, breast tissue) in neonates to assess gestational age.
D. Reflexes are part of neuromuscular maturity, but the tool combines both neuromuscular and physical components.
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