A baby is born precipitously to a mother who did not have prenatal care. The neonate requires only the initial steps of resuscitation but is found to have a bilateral cleft lip and palate. Review the patient’s assessment here: Position at rest: Complete flexion Square window: 0° Arm recoil: 75° Popliteal angle: 80° Scarf sign: Elbow does not cross midline Heel to ear: Foot does not reach the umbilicus Skin: No veins visible, cracking of skin at joints, dry Lanugo: Mostly bald skin Plantar surface: Creases over entire sole Breast: 4 mm bud with raised areola Ear: Formed pinna with instant recoil Genitals: Descended testes bilaterally, rugae over entire scrotum For which referrals does the nurse advocate for the baby prior to discharge? Select all that apply.
- NCLEX Practice
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- Management of Care
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- Category: Management of Care
- Difficulty: 7
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Additional Management of Care Questions
- Question Type: Multiple Choice - Select All
- Difficulty: 8
The bedside nurse asks the unlicensed assistive personnel (UAP) to administer a tube feeding to a patient with a nasogastric tube. The UAP has never performed this task. Which action by the UAP is most appropriate?
- Question Type: Multiple Choice - Select One
- Difficulty: 3
The nurse is supervising the care of the patient who is alert but has increased intracranial pressure following head trauma. Which action by the unlicensed assistive personnel (UAP) prompts the nurse to intervene immediately?
- Question Type: Multiple Choice - Select One
- Difficulty: 6
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