Asked by Rachel Cessna on May 31, 2024
Verified
A nurse performs an assessment on a healthy newborn. Which assessment finding will the nurse document as normal?
A) Cyanosis of the feet and hands for the first 48 hours
B) Triangle-shaped anterior fontanel
C) Sporadic motor movements
D) Weight of 4800 grams
Cyanosis
Bluish discoloration of the skin and mucous membranes caused by an excess of deoxygenated hemoglobin in the blood or a structural defect in the hemoglobin molecule.
Anterior Fontanel
The soft spot on the top of a baby's head where the skull bones have not yet joined.
Sporadic Motor Movements
Irregular, unpredictable physical movements that are not consistently repetitive.
- Recognize normal and abnormal developmental milestones and physical assessment findings in newborns and children.
Verified Answer
Learning Objectives
- Recognize normal and abnormal developmental milestones and physical assessment findings in newborns and children.
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