A nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn infant on admission to the nursery. The nurse suspects fetal alcohol syndrome and is aware that which additional sign would be consistent with fetal alcohol syndrome?
  1. Length of nineteen inches
  2. Abnormal palmar creases
  3. Birth weight of 6 lb. 14 oz
  4. Head circumference appropriate for gestational age
Explanation
Answer - B - The nurse suspects fetal alcohol syndrome and is aware that an additional sign that would be consistent with fetal alcohol syndrome is abnormal palmar creases. Features of newborn infants diagnosed with fetal alcohol syndrome include craniofacial abnormalities, intrauterine growth retardation, cardiac abnormalities, abnormal palmar creases, and respiratory distress.
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