Author Question: A newborn assessment finding that would support the nursing diagnosis of postmaturity would be: ... (Read 73 times)

karlynnae · **on:** Jun 28, 2018

A newborn assessment finding that would support the nursing diagnosis of postmaturity would be:

a. loose skin.
b. ruddy skin color.
c. presence of vernix.
d. absence of lanugo.

Question 2

Following a traumatic birth of a 10-pound infant, the nurse should assess:

a. gestational age status.
b. flexion of both upper extremities.
c. infant's percentile on growth chart.
d. blood sugar to detect hyperglycemia.

Koolkid240 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
Decreased placental function because of a prolonged pregnancy results in loss of subcutaneous tissue in the neonate, which is evidenced by loose skin. Ruddy skin color, presence of vernix, and absence of lanugo do not indicate a postmature infant.

Answer to Question 2

ANS: B
Large infants are at risk for shoulder dystocia, which may result in clavicle fracture or damage to the brachial plexus. Gestational age or the infant's growth chart percentile will not provide data about potential injuries from a traumatic birth. A large infant is at risk for hypoglycemia.