Ati Nur 211 Fundamentals proctored Exam
A nurse is preforming a newborn assessment. Which assessment finding will cause the nurse to intervene immediately?
Explanation & Rationale
A. Newborn reflexes (Moro, rooting, grasp) are crucial indicators of neurological function. Absence may suggest brain injury or CNS dysfunction and requires urgent evaluation. B. Acrocyanosis (blue hands/feet) is normal in newborns for the first 24–48 hours due to immature circulation. C. Molding (misshapen head from birth canal pressure) is normal and resolves within days. D. A soft, slightly protuberant abdomen is typical in newborns due to weak abdominal muscles.
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