Exam 20: Assessment of the Normal Newborn

Inspection of a newborn's head following birth reveals a hard ridged area and significant molding. The anterior and posterior fontanels show no sign of depression. Delivery history indicates that the mother was pushing for over 3 hours and had epidural anesthesia. A vacuum extraction was necessary. Based on this information the nurse would

The nurse is receiving shift report on her mother-baby couplet assignment. Which infant should the nurse evaluate first?

Infants who develop cephalohematoma are at an increased risk for

Which nursing action is designed to avoid unnecessary heat loss in the newborn?

Which statement best explains why a newborn with a congenital defect of the penis should not be circumcised?

The nurse is assessing a newborn and notes a nevus flammeus birthmark. Which of the following figures depicts this birthmark?

The nurse is performing the initial assessment of a newborn and notes retractions, nasal flaring, and tachypnea. The nurse will continue to perform a focused assessment on which system?

An infant at term was born at 0105 hours. The nurse is developing a plan of care for the newborn. During which time range will the nurse plan on performing the assessment to determine a Ballard score?

Which assessment finding of a newborn requires prompt action by the nurse?

The nurse is conducting a body system assessment of the newborn. Which are abnormal findings that the nurse should report? (Select all that apply.)

Which clinical findings are early signs of hypoglycemia in the newborn? (Select all that apply.)

The nurse is performing a gestational age assessment on a newborn. Which characteristics indicate a preterm newborn? (Select all that apply.)

A new mother states, "My baby is so thin and wrinkled. It looks like he has too much skin." Which is the most therapeutic response by the nurse in response to the patient's statement?

The nurse is assessing a newborn delivered 24 hours ago for jaundice. What is the best way to evaluate for this finding?

The hips of a newborn are examined for developmental dysplasia. Which clinical finding indicates an incomplete development of the acetabulum?

A new patient asks, "Why are you doing a gestational age assessment on my baby?" The nurse's best response is

To differentiate between caput succedaneum and cephalohematoma in a newborn, the nurse would consider the following clinical information. (Select all that apply.)

The mother-baby nurse is providing care to a patient and her newborn 2 hours after delivery. On review of the newborn's chart, the nurse sees a notation of caput succedaneum. What will the nurse expect to find in the mother's chart?

Which newborn reflex is elicited by stroking the lateral sole of the infant's foot from the heel to the ball of the foot?

A maculopapular rash with a red base and a small white papule in the center is commonly known as