Which of the following should the nurse report immediately if noted during initial assessment of newborn?

• A. Head circumference within normal range
• B. Normal weight
• C. Apgar score 9
• D. Head circumference of 33 cm

Answer: (D)

In newborn assessment, any finding that falls outside the expected ranges should be reported immediately because it can point to problems needing prompt evaluation. Head circumference is a key measure of brain growth, and a deviation from the expected size can indicate conditions such as microcephaly, macrocephaly, or growth-related concerns that require quick follow-up. A head circumference of 33 cm stands out as not fitting the typical expectations for a term newborn in many settings, so it warrants immediate reporting and further assessment. The other findings—normal head circumference within the expected range, normal weight, and a high Apgar score—reflect stable transition and do not require urgent action.