A baby is admitted to the newborn nursery with hypospadias. The nurse carefully assesses the baby for which of the following signs/symptoms?
Explanation & Rationale
Choice A reason: Absence of babbling by 1 month is not relevant to hypospadias, a congenital condition where the urethral opening is misplaced. Babbling is a developmental milestone unrelated to urogenital abnormalities, making this an incorrect sign to assess in a newborn with hypospadias. Choice B reason: Lack of gesturing at 15 months assesses developmental milestones like communication, not hypospadias. Hypospadias involves urinary tract anomalies, and associated symptoms include abnormal urination or genital appearance, not gesturing, making this an irrelevant sign for a newborn with this condition. Choice C reason: Lack of eye contact at 2 months evaluates social or neurological development, not hypospadias. This urogenital condition may involve abnormal urinary stream or chordee, but eye contact is unrelated, making this an incorrect symptom to assess in a newborn with hypospadias. Choice D reason: While not directly related to hypospadias, assessing the startle reflex at 2 months ensures overall neurological health, as hypospadias may be associated with congenital syndromes. Absence of this reflex could indicate neurological issues, making it a relevant finding to monitor in the context of congenital anomalies.