Olds Assessment of Newborn final exam
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Qs
A nursing instructor is demonstrating an assessment on a newborn using the
Ballard gestational assessment tool. The nurse explains that which of the
following tests should be performed after the first hour of birth, when the
newborn has had time to recover from the stress of birth?
1. Arm recoil
2. Square window sign
3. Scarf sign
4. Popliteal angle ANS✔: 1
Explanation: 1. Arm recoil is slower in healthy but fatigued newborns after birth;
therefore, arm recoil is best elicited after the first hour of birth, when the baby
has had time to recover from the stress of birth.
Qs
Before the nurse begins to dry off the newborn after birth, which assessment
finding should the nurse document to ensure an accurate gestational rating on
the Ballard gestational assessment tool?
1. Amount and area of vernix coverage
2. Creases on the sole
3. Size of the areola
4. Body surface temperature ANS✔: 1
