The student nurse has performed a gestational age assessment of an infant, and finds the infant to be at 32 weeks. Which set of characteristics are most likely to be found?
A. Lanugo mainly gone, little vernix across the body
B. Prominent clitoris, enlarging minora, anus patent
C. Full areola, 5 to 10 mm bud, pinkish-brown in color
D. Skin is opaque, has cracking at wrists and ankles, no vessels visible
Question 2
The new mother is holding her two-hour-old son. The delivery occurred on the due date. Apgar scores were 9 at both one and five minutes. The mother asks the nurse why her son was so wide awake right after birth, and now is sleeping so soundly.
Which statement is best for the nurse to make? A. Don't worry at all; babies go through a lot of these little phases.
B. Your son is in the second alert phase. He'll wake up soon.
C. Your son is exhausted from being born, and will sleep six more hours.
D. Your breastfeeding efforts have caused excessive fatigue in your son.
The nurse needs to note the source of the patient health history
Tongue Assessment
A cyanotic infant. Note the bluish tinge to the skin around the lips, chin, and nose
The nurse applies a pulse oximeter sensor on the client’s finger.
Nursing assessment questions
Student Perspective of Research