The nurse completes a physical assessment of a newborn. Which ...

[bobypop]

The nurse completes a physical assessment of a newborn. Which finding should the nurse identify as being abnormal?
 
  A) Abdomen slightly protuberant
  B) Clear drainage at the base of the umbilical cord
  C) Bowel sounds present at two to three per minute
  D) Liver palpable 2 cm under the right costal margin

Question 2

A group of nursing students are reviewing respiratory system adaptations that occur during the postpartum period. The students demonstrate understanding of the information when they identify which of the following as a postpartum adaptation?
 
  A) Continued shortness of breath
  B) Relief of rib aching
  C) Diaphragmatic elevation
  D) Decrease in respiratory rate

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Answer to Question 1

B
Feedback:
The base of the cord should not appear wet. A moist or odorous cord can indicate an infection or a patent urachus that will drain urine at the cord site until it is surgically repaired. Normal newborn abdominal assessment findings include slightly protuberant in shape, presence of bowel sounds, and 2 cm of the liver palpable under the right costal margin.

Answer to Question 2

B
Feedback:
Respirations usually remain within the normal adult range of 16 to 24 breaths per minute. As the abdominal organs resume their nonpregnant position, the diaphragm returns to its usual position. Anatomic changes in the thoracic cavity and rib cage caused by increasing uterine growth resolve quickly. As a result, discomforts such as shortness of breath and rib aches are relieved.

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