Which assessment findings would the nurse most likely expect to find in a male infant born at 28 weeks gestation? Select all that apply.

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A gestational age assessment assists the nurse in providing developmentally appropriate care to preterm newborns. This assessment uses indicators of neuromuscular and physical maturity that are assessed, scored, and added, which correlates to an estimation of gestational age. Lanugo, a fine, downy hair found mostly on the backs and shoulders of preterm newborns, begins disappearing around 36 weeks gestation. At 28 weeks, the newborn has abundant lanugo over most of the body (Option A). The 28-week newborn also has smooth, pink skin with visible veins as skin is thin and transparent with lack of subcutaneous fat (Option D). The areolae of extremely premature infants may be barely visible, with no raised breast buds (Option C). Palpable, raised breast buds measuring 5-10 mm would be expected in newborns closer to term gestation. (Option B) At 28 weeks gestation, a newborn's feet have very smooth soles with only faint red marks or possibly a single anterior transverse crease. Creases over the entire sole and/or peeling skin would be expected in a full- or post-term (ie, 40+ weeks) newborn. (Option E) The testes of a male infant born at 28 weeks gestation would not yet have descended into the scrotal sac and may be palpable in the upper inguinal canal. Educational objective: A gestational age assessment assists the nurse in providing developmentally appropriate care for preterm newborns. The newborn at 28 weeks gestation has abundant lanugo; flat areolae without palpable breast buds; and smooth, pink skin with visible veins.

Which Assessment Findings Would the Nurse most Likely Expect to Find