The nurse is documenting an assessment of the newborn spine  and back. Which of the following findings would be within normal limits 

Scenario:  The nurse is taking care of baby boy Brown who is less than one hour old.  Based on the assessment below, which findings are concerning?  Select 5.   Physical Assessment:  wt – 3578g, length – 49.5cm, HC – 34cm, VS: 96.8 ®-145-58 normal tone/color/activity, crying with exam; skin – no jaundice, + red macules with central papules scattered on chest and legs; HEENT- normocephalic, + edematous area over R parietal bone, does not cross sutures; eyes & ears normal set/shape, palate intact, tongue freely movable; neck – R clavicle intact, crepitus noted over left clavicle; lungs – clear;  CV – high pitched murmur over left pulmonic region of chest;  abd – soft, non-distended,  umbilical stump intact/clamped with 2 vessels present;  genitalia – normal male with testes descended, anus patent;  ext – no movement left arm; hips stable;  neuro- + suck, grasp, and Moro reflexes. 

A nurse is planning care for a  newborn with respiratory distress . The  nurse knows that  respiratory distress is related to  ?

Which below is an example of molding ?  SATA 

Which of the following infants is most at risk for Transient Tachypnea of the Newborn? 

A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications should the nurse anticipate administering? SATA

A nurse is caring for a newborn and calculating the Apgar score. At 1 min after delivery, the following findings are noted: heart rate of 110/min; slow, weak cry; some flexion of extremities;  slight grimace in response to suctioning of the nares; body pink in color with blue extremities. Calculate the newborn’s Apgar score.

A mother refuses for her son to receive phytonadione( Vitamin K) injection after birth. Which of the following signs and symptoms would the nurse expect to see as a result? 

A newborn girl has just been born and the nurse is examining the newborn. The weight is 6 pounds 2 ounces, the anterior fontanel is flat, the cranial sutures line overlap slightly  and when the infant moves it right arm the left arm does not move with crepitus felt on examination along the shoulder. What could be the issue? 

A nurse in a pediatric clinic is teaching a class on newborns to a group of first time mothers. What should the nurse explain about erythema toxicum/ newborn rash?