Which statement reflects the newborn's visual abilities at birth? - ANS From birth, newborns can
best see objects held 8-10 inches away.
What is the cause of molding in the newborn skull? - ANS Overlapping of the unfused bones
compressed during vaginal delivery
The nurse is assessing a newborn's vital signs. Which findings require follow-up? Select all that
apply. - ANS Axillary temperature 97.5°F (36.4°C)
Respiratory rate 20 breaths per minute
Apical heart rate 100 beats per minute
The newborn's umbilical cord at delivery normally contains which components? Select all that
apply. - ANS One vein and two arteries
Gelatinous protective tissue
The nurse obtains an axillary body temperature of 97ᵒF (36.1ᵒC) on a newborn. Based on this
finding, what assessment cues should alert the nurse? Select all that apply. - ANS
Hypoglycemia
Excessive weight loss
Decreased blood oxygen saturation
Lethargy
The nurse observes a new mother placing her newborn on the bed between her legs, then
unwrapping the newborn to change the diaper and clothes. She stops to answer her phone and
is observed leaving the newborn unwrapped. What implications may this have? Select all that
apply. - ANS Newborn's blood glucose level may decrease
Hypothermia in the newborn
Increased oxygen demand and consumption in the newborn
The nurse observes pink stains in the diaper of a 1-day-old, male newborn. What conclusion
does the nurse make based on this finding? - ANS He has uric acid crystals in his urine.
A 12-hour-old newborn is found to have a dark brown, sticky, thick mass of stool in his diaper.
With what is this finding consistent? - ANS The newborn digested amniotic fluid in utero.
Drag each common newborn skin assessment finding to its description. - ANS Milia-
Small white spots on the nose and chin similar to acne
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