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.

Want help? View the answer with rationale.

0