Before the nurse begins to dry off the newborn after birth, which ...

[EY67]

Before the nurse begins to dry off the newborn after birth, which assessment finding should the nurse document to ensure an accurate gestational rating on the Ballard gestational assessment tool?
 
  1. Amount and area of vernix coverage
  2. Creases on the sole
  3. Size of the areola
  4. Body surface temperature

Question 2

The nurse is caring for a newborn who was recently circumcised. Which nursing intervention is appropriate following the procedure?
 
  1. Keep the infant NPO for 4 hours following the procedure.
  2. Observe for urine output.
  3. Wrap dry gauze tightly around the penis.
  4. Clean with cool water with each diaper change.

[tuate]

Answer to Question 1

1
Rationale 1: Drying the baby after birth will disturb the vernix and potentially alter the score when using the Ballard gestational assessment tool. The nurse should document the amount and coverage of the vernix before drying the newborn.
Rationale 2: Creases on the sole are not affected by drying the newborn.
Rationale 3: The size of the areola is not affected by drying the newborn.
Rationale 4: Body surface temperature is not part of the Ballard gestational assessment tool.

Answer to Question 2

2
Explanation: 2. It is important to observe for the first voiding after a circumcision to evaluate for urinary obstruction related to penile injury and/or edema.

[EY67]

Excellent

[JaynaD87]

TYSM