Exam 15: Assessing the Newborn and Infant

Which physical assessment approach is appropriate during the newborn assessment process? Select all that apply.

The nurse is assessing an infant whose length was 19 inches at birth. Which is his expected height at 6 months of age?

The initial assessment of the newborn reveals a heart rate of 100 beats per minute, a weak cry, flexed muscle tone, and pink color with blue extremities. Which Apgar score is most appropriate?

Which medical term is used to describe the white cheeselike substance that covers the skin of newborns at birth?

A normal respiratory rate for a newborn is 30 to ________________irregular respirations per minute.

Jaundice that occurs within the first ________________hours of life is considered pathological jaundice.

The nurse is conducting an assessment for a newborn who presents with a heart rate of 140, a strong cry is noted, muscle tone is active, reflexes are vigorous, and color is pink with blue hands and feet. Which Apgar score is most appropriate for the newborn?

The nurse anticipates that the chest circumference will equal the head circumference by ________________months of age.

A 4-month-old infant presents with vomiting over the last 12 hours. Which is a good assessment of hydration status?

The nurse is assessing an 11-month-old infant during a well-baby check-up. Which neurologic reflexes does the nurse expect the infant to demonstrate during the visit?

The nurse is assessing a newborn whose heart rate is 65, respirations are 24, muscle tone is flaccid, reflexes indicate a weak cry, and the color is blue. Which is the appropriate Apgar score for this newborn?

Most states have mandatory phenylketonuria (PKU) screening several days after birth to rule out phenylalanine amino acids in blood that can cause which disorder?

The nurse is providing care to several newborn patients during well-baby visits. Which set of vital signs is the most abnormal?

The nurse is conducting a newborn assessment and notes that the newborn has an ear malformation. Which will the nurse assess for based on this data?

The nurse is assessing a newborn who exhibits continued extrusion of the tongue. Which diagnosis does the nurse anticipate based on this data?

The nurse is assessing an infant whose birth weight was 7 lb 8 oz. Which is the expected weight at 1 year?

The nurse is preparing to conduct a physical assessment during a 12-month well-baby visit. In which position should a fearful infant be placed during this assessment?