Difficulty: Medium
Average Score: 90%
Simulated
Passage / Scenario
A nurse is assessing a full-term newborn upon admission to the nursery.Which of the following clinical findings should the nurse report to the provider?
Correct answer
D
Rationale
The correct answer is D: Single palmar creases. This finding can indicate a genetic condition called Down syndrome, which requires further evaluation by the provider. Subconjunctival hemorrhage (A) is common and usually resolves on its own. Rust-stained urine (B) may indicate the presence of blood or hemoglobin in the urine but does not always require immediate reporting. Transient circumoral cyanosis (C) can occur in newborns due to immature circulation and typically resolves without intervention. Single palmar creases (D) are associated with Down syndrome and should be reported for further assessment.