2027 ACTUAL COMPLETE REAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
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A physical finding consistent with prematurity is
a. abundant
lanuga
b. accelerated plantar
creasing
c. stippled areola with raised edges - ANSWER-A-
External criteria of
determination of gestational age involve a wide variety of
physical parameters
including: presence of edema, skin texture, color and opacity,
presence of lanugo, plantar creases, nipple formation and
amount of breast tissue, ear form and firmness and appearance
of genitalia. Based on the options provided in the question, the
abundant lanugo is consistent with prematurity. As the infant
achieves a greater gestational age, lanugo diminishes. Plantar
creases are not prominent in the premature infant and becomes
more pronounced with increasing gestational age. The nipples
of premature infants are usually flat with no definition.
, Three neonates are plotted on a growth curve shown. Because
of weight and
gestational age, they are at
increased risk for
a. Congenital anomalies
b. hypoglycemia
c. respiratory distress syndrome - ANSWER-A-Of the choices
given, the only risk all these babies share is increased of
congenital anomalies. Hypoglycemia no RDS is increased for
Baby B who is term, AGA. Baby C, who is post-term, is not at
risk for RDS.
When performing a gestational age assessment, the nurse
should recognize
that a finding that correlates with advancing gestational
age is increased
a. degree of arm flexion with arm recoil maneuver
b. resistance with scarf sign maneuver
c. square window angle - ANSWER-B-In gestational age
assessment, the degress of arm flexion or arm recoil
decreases with advancing gestational age as does the square
window angle. With scarf sign maneuver, increased
resistance correlates with advancing gestational age.
A neonate can be assumed to be at and an advanced
gestational age if