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: 4
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Additional Management of Care Questions
- Question Type: Multiple Choice - Select All
- Difficulty: 8
Which statement by the novice nurse requires correction by the charge nurse?
- Question Type: Multiple Choice - Select One
- Difficulty: 5
Which assessments are considered second priority? Select all that apply
- Question Type: Multiple Choice - Select All
- Difficulty: 5
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