A midwife is assessing a mature female neonate born to a 21-year-old G3P2 client. Which of the following findings suggests that further evaluation and notification of the physician are necessary?
  1. Birth length = 53 cm
  2. Head circumference = 35 cm
  3. Birth weight = 11 pounds
  4. Chest circumference is 2 cm less than the head circumference.
Explanation
Answer: C - A birth weight of 11 pounds is unusual, which requires further evaluation and notification of the physician. Mature female newborns usually weigh 7.5 pounds, whereas mature male newborns weigh 7.7 pounds on the average. The average birth length for female newborns is 53 cm. In mature newborns, the head circumference is usually 34 to 35 cm. Chest circumference is usually 2 cm less than the head circumference.
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