A new patient asks, 'Why are you doing a gestational age assessment on my baby?' The nurse's best response is

Correct Answer: C

Rationale: The correct answer is C because gestational age assessment helps identify infants at risk for problems like prematurity-related complications. It aids in providing appropriate care and monitoring for high-risk infants. Choice A is not patient-centered. Choice B is inaccurate as gestational age assessment is for clinical purposes, not insurance. Choice D is incorrect as hospitalization duration is determined by clinical condition, not just gestational age.

Correct Answer: C

Rationale: The correct answer is C: contact the pediatric provider. In this scenario, the newborn's presentation with a hard ridged area, significant molding, and no sign of depression in the fontanels is concerning given the prolonged pushing, epidural anesthesia, and vacuum extraction during delivery. Contacting the pediatric provider is crucial as these findings may indicate potential issues such as cranial molding, head trauma, or skull fracture which require further evaluation and management. Monitoring the newborn, anticipating molding subsiding, inspecting fontanels, or considering findings within normal limits are not appropriate actions given the risk factors and concerning presentation. Contacting the pediatric provider ensures prompt assessment and appropriate intervention if necessary.

Correct Answer: A

Rationale: The correct answer is A: Depress the tip of the nose. This method checks for jaundice by observing for blanching of the skin. If jaundice is present, the skin will not blanch. This technique is specifically used to assess for jaundice in newborns. B, C, and D are incorrect because they do not provide a reliable way to assess for jaundice in newborns. Stroking the foot, placing a finger in the hand, or rotating the hips do not elicit a specific response related to jaundice. These techniques are not appropriate for evaluating newborn jaundice.

Correct Answer: B

Rationale: The correct answer is B: Vitamin K is needed to activate clotting factors. This is accurate because neonates have low levels of vitamin K and need it for blood clotting. Without adequate vitamin K, neonates are at risk of bleeding disorders. Incorrect choices: A: Neonates will hemorrhage without vitamin K - This is not entirely accurate as hemorrhage is a severe consequence of vitamin K deficiency, but the primary reason for giving vitamin K is to ensure proper clotting function. C: Mothers are unable to supply vitamin K to the fetus - This is incorrect as fetuses receive vitamin K from the placenta during pregnancy. D: Breastfeeding is an excellent source of vitamin K - This is incorrect as breast milk contains low levels of vitamin K, which is why neonates need supplementation shortly after birth.

Correct Answer: C

Rationale: The correct answer is C: Asymmetrical Moro reflex. This is concerning because the Moro reflex should be symmetrical, with both arms and legs extending and then flexing in response to a sudden movement or loud noise. An asymmetrical Moro reflex could indicate a neurological issue or injury. A: A fencing position when the head is turned is a normal response indicating a healthy neurological function. B: A strong Babinski reflex is normal in infants and can indicate a healthy nervous system development. D: The absence of rooting or sucking reflexes can be a concern but is not as immediate as an asymmetrical Moro reflex.