Difficulty: Medium
Average Score: 66%
Simulated
Before beginning a newbornÔÇÖs physical assessment,the nurse reviews the newbornÔÇÖs medical record and sees this notation: ÔÇ£31 weeksÔÇÖ gestation.ÔÇØ Considering this information the nurse determines that a physical assessment of the infant should reveal which finding?
Correct answer
D
Rationale
"Preterm infants (31 weeks) are covered with vernix caseosa. Flexion is minimal sucking is absent before 33 weeks and lanugo is extensive."