Question

A nurse is performing a physical assessment of a newborn upon admission to the nursery. Which of the following manifestations should the nurse expect? Select all that apply.

a. Presence of Lanugo.

b. Fused sutures.

c. Presence of Moro reflex.

d. Jaundiced skin tone.

Answer 1

A nurse performing a physical assessment of a newborn may expect the presence of lanugo, fused sutures, the Moro reflex, and a jaundiced skin tone.

Step-by-step explanation:

The nurse should expect the following manifestations during a physical assessment of a newborn upon admission to the nursery:

1. Presence of Lanugo: Some newborns still have the fine, colorless hair called lanugo, but it usually disappears within the first month after birth.
2. Fused sutures: The newborn's soft spots in the skull called fontanels gradually ossify after birth.
3. Presence of Moro reflex: This reflex is normally present in newborns and involves throwing the arms outward and then bringing them back to the body in response to a sudden movement or loud noise.
4. Jaundiced skin tone: Some newborns may have a yellowish skin tone due to excess bilirubin.