Newborn Nursing Care Q 37

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A nurse in a newborn nursery is performing an assessment of a newborn infant. The nurse is preparing to measure the head circumference of the infant. The nurse would most appropriately:

  

     A. Wrap the tape measure around the infant’s head and measure just above the eyebrows.

     B. Place the tape measure under the infant's head at the base of the skull and wrap around to the front just above the eyes

     C. Place the tape measure under the infant's head, wrap around the occiput, and measure just above the eyes

     D. Place the tape measure at the back of the infant’s head, wrap around across the ears, and measure across the infant’s mouth.

    

    

Correct Answer: C. Place the tape measure under the infant’s head, wrap around the occiput, and measure just above the eyes.

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Option C: To measure the head circumference, the nurse should place the tape measure under the infant’s head, wrap the tape around the occiput, and measure just above the eyebrows so that the largest area of the occiput is included.

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