During the shift assessment of the healthy, full-term neonate born 24 hours ago to the 25-year-old G1P1 mother who had an uncomplicated pregnancy and delivery, the nurse notes the urethral meatus is on the ventral part of the penile shaft. The assessment is also notable for wide-spaced, downward-slanting eyes that resemble the baby’s father. The baby is pink, well-perfused, and breathing comfortably with normal heart and lung sounds. The mother reports the child is breastfeeding every 2 hours and has voided and stooled several times. Which additional assessment is most important?

Question

During the shift assessment of the healthy, full-term neonate born 24 hours ago to the 25-year-old G1P1 mother who had an uncomplicated pregnancy and delivery, the nurse notes the urethral meatus is on the ventral part of the penile shaft. The assessment is also notable for wide-spaced, downward-slanting eyes that resemble the baby&rsquo;s father. The baby is pink, well-perfused, and breathing comfortably with normal heart and lung sounds. The mother reports the child is breastfeeding every 2 hours and has voided and stooled several times. Which additional assessment is most important?

Accepted Answer

Ultrasound of the scrotum. Cryptorchidism may occur with hypospadias; an ultrasound of the scrotum determines their presence in the scrotum or abdominal cavity. An echocardiogram is not indicated as the baby is pink and well-perfused, has normal heart sounds, and transitioned well after a normal pregnancy. A chromosomal microarray may be indicated down the line if more defects are discovered. A renal ultrasound is not as important unless more defects are found since the baby is peeing well.

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