Accurate Answers
.The nurse is performing a gestational age assessment on a newborn. Which
characteristic indicates the greatest gestational maturity? correct answer There is
some peeling and cracking of the skin
A characteristic of a post-term infant who weighs 7 lb, 12 oz, and who lost weight
in utero, is correct answer lack of subcutaneous fat
A maculopapular rash with a red base and a small white papule in the center is
commonly known as correct answer erythema toxicum.
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? correct answer You sound disappointed about how your
infant looks."
A new patient asks, "Why are you doing a gestational age assessment on my
baby?" The nurse's best response is correct answer It helps us identify infants
who are at risk for any problems.
A newborn assessment finding that would support the nursing diagnosis of post-
maturity would be correct answer loose skin
A newborn that is a large-for-gestational-age (LGA) infant is in which percentile(s)
for weight? correct answer Greater than the 90th
, A preterm infant is on a ventilator, with intravenous lines and other medical
equipment. When the parents come to visit for the first time, what is the most
important action by the nurse? correct answer Encourage the parents to touch
their infant
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? correct answer b. 0200 to 0600
An infant delivered prematurely at 28 weeks' gestation weighs 1200 g. Based on
this information the infant is classified as correct answer VLBW (very-low-birth-
weight)
An infant presents with lethargy in the newborn nursery on the second day of life.
On further examination, vital signs are stable and muscle tone is slightly
decreased, with sluggish reflexes noted. Other physical characteristics are noted
as being normal. Lab tests reveal a decreased hematocrit and increased blood
sugar. The nurse suspects that the infant may be exhibiting signs and symptoms
of correct answer PIVH (periventricular hemorrhage)
Ballard score correct answer test used to estimate gestational age, Most accurate
at 12-20 hrs and is based on sum of neuromuscular and physical maturity score
the higher the number the more mature.
Because late preterm infants are more stable than early preterm infants, they
may receive care that is much like that of a full-term baby. The mother-baby or
nursery nurse knows that these infants are at increased risk for which of the
following? (Select all that apply.) correct answer Sepsis, hyperbilirubinemia, and
problems with thermoregulation are all conditions that are related to immaturity
and warrant close observation.