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Which observation is expected when the nurse is assessing the gestational age of a neonate born at term?

A.

No creases on the plantar surface of the foot.

B.

Abundant lanugo covering most of the body.

C.

Flexed position at rest.

D.

Pinna of the ear that remains folded.

Answer and Explanation

The Correct Answer is C

Choice A rationale

The absence of creases on the plantar surface is typical of a preterm infant, not a term infant. Term infants usually have some creases.

 

Choice B rationale

Abundant lanugo is more common in preterm infants, while term infants may have some but not extensive lanugo.

 

Choice C rationale

A flexed position at rest is expected in a term neonate, as it indicates good muscle tone and neuromuscular development.

 

Choice D rationale

The pinna of the ear remaining folded is more indicative of a preterm infant, as term infants typically have fully formed and firmer ear cartilage.


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View Related questions

Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale

Inspection is always the first step in an abdominal assessment. It involves visually examining the abdomen for any abnormalities such as distention, masses, or scars.

Choice B rationale

Auscultation follows inspection and involves listening to bowel sounds with a stethoscope. This helps to assess the presence and frequency of peristalsis.

Choice C rationale

Deep palpation is performed after superficial palpation to identify any deep-seated abnormalities or pain. It helps in assessing the size, shape, consistency, and mobility of abdominal organs.

Choice D rationale

Superficial palpation is performed before deep palpation to detect any tenderness, muscle resistance, or superficial masses. It is done gently to avoid causing discomfort to the child.

Correct Answer is B

Explanation

Choice A rationale

A front-facing car seat for an infant does not provide adequate protection in the event of a collision. Infants should always be in a rear-facing car seat to support their head, neck, and spine.

Choice B rationale

Using an infant model car seat designed specifically for the car ensures that the seat meets safety standards and is appropriate for the child's size and developmental needs, providing optimal protection.

Choice C rationale

Being able to fit a hand between the baby and the car seat harness indicates the harness is too loose. The harness should be snug enough that only one or two fingers can fit between the strap and the baby's chest to provide secure restraint.

Choice D rationale

A rear-facing car seat should not be placed in the front passenger seat due to the risk of injury from airbags. The safest position for a rear-facing car seat is in the back seat, away from active airbags.

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