A nurse is assessing a newborn who was born at 39 weeks gestation. Which of the following findings should the nurse expect?
A. Symmetric rib cage
B. Dry, wrinkled skin
C. Vernix over the entire body
D. Abundant lanugo on the back
A. Symmetric rib cage
Rationale: A baby who was born at 39 weeks gestation is full-term and should have a symmetric rib cage.
B. A newborn who is born 39 weeks gestation is full-term and should have normal, smooth skin with good turgor and the presence of subcutaneous fat pockets. A post-mature newborn (born after 42 weeks gestation) will have dry, crackled skin with a wrinkled appearance.
C. A newborn who was born 39 weeks of gestation is full-term and should have little to no vernix present at birth.
D. Lanugo (fine, downy hair) is abundant in newborns who are preterm. Newborns who are born at full-term typically have sparse lanugo on the shoulders, pinna, and forehead.
A nurse is teaching a parents of a newborn how to care for the newborn's umbilical cord stump. Which of the following instructions should the nurse include?
A. "Cover the cord with the edge of the diaper."
B. "Clean the cord stump with tap water."
C. "Apply a damp cloth over the cord stump once each day."
D. "You should gently tug on the cord stump in 5 days if it has not yet fallen off."
B. "Clean the cord stump with tap water."
Rationale: The nurse should instruct the parent to cleanse around the cord stump with tap water to promote healing and prevent infection.
A. The nurse should instruct the parent to fold the edge of the diaper below the cord to ensure that it stays dry to promote healing
C. The nurse should instruct the parent to keep the cord stump clean, dry, open to the air, and loosely covered by clothing.
D. The nurse should instruct the parent not to put pressure on or pull the cord stump. The cord will dry and fall off naturally within 10 to 14 days after birth.
A nurse is teaching a client who is at 12 weeks gestation and has human immunodeficiency virus (HIV). Which of the following statements should the nurse include in the teaching?
A.
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