The nurse is completing a physical and gestational age assessment ...

[azncindy619]

The nurse is completing a physical and gestational age assessment on an infant who is 12 hours old. Which components are included in the gestational age assessment? (Select all that apply.)
 
  a. Arm recoil
  b. Popliteal angle
  c. Motor performance
  d. Primitive reflexes
  e. Square window
  f. Scarf sign

Question 2

A 12-year-old child with Guillain-Barr syndrome (GBS) is admitted to the pediatric intensive care unit. She tells you that yesterday her legs were weak and that this morning she was unable to walk. After the nurse determines the current level of paralysi
 
  a. Swallowing ability
  b. Parental involvement
  c. Level of consciousness
  d. Antecedent viral infections

[TDubDCFL]

Answer to Question 1

ANS: A, B, E, F
The components of the typical gestational age assessment include posture, square window, arm recoil, popliteal angle, scarf sign, and heel to ear. Motor performance and reflexes are parts of the behaviors in the Brazelton Neonatal Behavioral Assessment Scale.

Answer to Question 2

ANS: A
Assessment of swallowing is essential. Both pharyngeal involvement and respiratory function are usually involved at the same time. The child may require ventilatory support. The inability to swallow also contributes to aspiration pneumonia. Parental involvement is important after the physiologic assessment is complete. The child is answering questions and describing the onset of the illness, which demonstrates she is alert and oriented. Information regarding antecedent viral infections can be obtained after the child is assessed and stabilized.