The nurse is assessing a new admission to the newborn nursery. ...

[karateprodigy]

The nurse is assessing a new admission to the newborn nursery. Which physical findings suggest the infant was preterm? Standard Text: Select all that apply.
 
  1. The ear pinna quickly returns to original position after being bent manually.
  2. The infant's resting position is tightly flexed.
  3. Labia widely separated with clitoris prominent.
  4. Breast area barely perceptible with flat areola, no bud.
  5. Sole creases do not extend the length of the foot.

Question 2

During a hurricane emergency, a child with hemophilia is injured and bleeding internally. The child is transported to the hospital. Due to the emergency, the appropriate factor is not available.
 
  What blood product would be the next best option to promote clotting? 1. Platelets
  2. Whole blood
  3. Packed cells
  4. Fresh or fresh frozen plasma

[chreslie]

Answer to Question 1

3,4,5
Rationale 1: This finding is associated with fetal maturity.
Rationale 2: This finding is associated with fetal maturity. A preterm infant will rest with arms and legs extended.
Rationale 3: In the mature infant, the labia covers the perineal area, including the clitoris.
Rationale 4: This is an indication of immaturity associated with the preterm infant.
Rationale 5: This is an indication of a preterm infant.
Global Rationale:

Answer to Question 2

4
Rationale 1: The child has adequate platelets, and administration of platelets will not promote clotting.
Rationale 2: Whole blood will increase the blood volume without promoting clotting.
Rationale 3: A unit of packed cells will provide RBCs but not the factor needed to clot.
Rationale 4: Factors are located in the plasma. Fresh or fresh frozen plasma will provide the best source of factor available.
Global

[karateprodigy]

Correct answers!

[chreslie]

Great! Please up vote