6. A neonatal nurse is performing the initial assessment on a neonate. The neonate was delivered by vacuum extraction at 39 weeks' gestation. Which finding would be considered "normal" for this infant at 1 minute of age?
6. A neonatal nurse is performing the initial assessment on a neonate. The neonate was delivered by vacuum extraction at 39 weeks' gestation. Which finding would be considered "normal" for this infant at 1 minute of age?
Test-Taking Tip
Eliminate the obvious abnormal findings in a 1-minute-old infant: absence of tone, icteric skin, and bradycardia.
Content Area: Child Health, Newborn; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Ante/Intra/Postpartum and Newborn Care
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Answer 1 is correct because acrocyanosis is cyanosis of the fingers and toes, and is a normal finding for the first few hours after delivery. Answer 2 is incorrect because absence of tone is not a normal finding. A floppy baby at 1 minute of age may be indicative of depression after delivery. Answer 3 is incorrect because icteric skin, also referred to as jaundice, is not a normal finding immediately after delivery. Answer 4 is incorrect because an apical pulse of 100 is bradycardia and not a normal finding at 1 minute of age.
