Author Question: A newborn assessment shows separated sagittal suture, oblique palpebral fissures, depressed nasal ... (Read 57 times)

jeatrice · **on:** Jun 27, 2018

A newborn assessment shows separated sagittal suture, oblique palpebral fissures, depressed nasal bridge, protruding tongue, and transverse palmar creases. These findings are most suggestive of

a. Microcephaly
b. Down syndrome
c. Cerebral palsy
d. Fragile X syndrome

Question 2

A pregnant patient is concerned that the baby is going to drown in the uterus because of the fluid. What should the nurse respond about fetal respiration?

A) You are breathing for the baby..
B) The baby's breathing is very minor until delivery..
C) The baby's lungs can accommodate all of the fluid..
D) Oxygen is provided to the baby through the placenta..

Madisongo23 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Feedback
A The infant with microcephaly has a small head.
B These are characteristics associated with Down syndrome.
C Cerebral palsy is a diagnosis not usually made at birth. No characteristic physical
signs are present.
D The infant with fragile X syndrome has increased head circumference; long,
wide, and/or protruding ears; long, narrow face with prominent jaw; hypotonia;
and high arched palate.

Answer to Question 2

D
Feedback:
Fetal circulation differs from extrauterine circulation because the fetus derives oxygen and excretes carbon dioxide not from gas exchange in the lung but from exchange in the placenta. The baby's lungs are not functioning in utero so the response that the baby's breathing is very minor until delivery and the baby's lungs being able to accommodate the fluid are incorrect. The patient is not breathing for the baby..