A nurse is assessing a newborn's head after a vaginal delivery. The nurse notes a soft, edematous area that crosses suture lines on the scalp. The parents ask how this differs from a cephalohematoma. Which of the following statements is correct?
Both caput succedaneum and cephalohematoma are superficial scalp swellings that are visible at birth, can cross suture lines, and generally resolve spontaneously within a few hours to a few days without any risk of complications.
Caput succedaneum is a collection of blood beneath the periosteum that is limited to a single cranial bone, does not cross suture lines, and may take several weeks to resolve, while cephalohematoma is a superficial scalp swelling caused by pressure during delivery that crosses suture lines and resolves within days
Caput succedaneum is usually firm and may be associated with bruising or ecchymosis of the scalp that develops within 24-48 hours after birth, while cephalohematoma is a soft, fluid-filled swelling of the scalp that crosses suture lines and resolves within a few days.
Caput succedaneum crosses suture lines and usually resolves within a few days without intervention, while cephalohematoma is a subperiosteal hemorrhage confined to one cranial bone that may take weeks to months to resolve and can slightly increase the risk of hyperbilirubinemia.
The Correct Answer is D
A. Both caput succedaneum and cephalohematoma are superficial scalp swellings that are visible at birth, can cross suture lines, and generally resolve spontaneously within a few hours to a few days without any risk of complications is incorrect. While caput succedaneum crosses suture lines and resolves quickly, cephalohematoma does not cross suture lines and takes longer to resolve.
B. Caput succedaneum is a collection of blood beneath the periosteum that is limited to a single cranial bone, does not cross suture lines, while cephalohematoma is a superficial scalp swelling that crosses suture lines is incorrect. This description reverses the characteristics of caput succedaneum and cephalohematoma. Caput succedaneum is a superficial edema that crosses suture lines, whereas cephalohematoma is a subperiosteal hemorrhage limited to one cranial bone.
C. Caput succedaneum is usually firm and may be associated with bruising or ecchymosis, while cephalohematoma is a soft swelling that crosses suture lines is incorrect. Caput succedaneum is soft and edematous, not firm, and cephalohematoma does not cross suture lines.
D. Caput succedaneum crosses suture lines and usually resolves within a few days without intervention, while cephalohematoma is a subperiosteal hemorrhage confined to one cranial bone that may take weeks to months to resolve and can slightly increase the risk of hyperbilirubinemia is correct. Caput succedaneum results from pressure on the fetal head during delivery, causing soft tissue edema, while cephalohematoma results from ruptured blood vessels under the periosteum and resolves more slowly, with a small risk of hyperbilirubinemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Visual Analog Scale (VAS) is incorrect because it requires the child to understand and mark a point on a line to represent pain intensity, which is often too complex for a 4-year-old, especially if they cannot verbalize pain reliably.
B. FLACC scale is correct. The FLACC (Face, Legs, Activity, Cry, Consolability) scale is an observational tool designed for children who cannot self-report pain. It assesses behavioral and physiological indicators of pain including facial expression, leg movement, activity level, crying, and consolability. Scores range from 0 to 10, allowing for objective assessment and monitoring of pain in young children, infants, or nonverbal patients.
C. Faces Pain Scale is incorrect because it relies on the child’s ability to understand and point to a facial expression that represents their pain. While appropriate for some preschoolers, a 4-year-old who cannot reliably verbalize or comprehend the scale may not use it accurately.
D. Numeric Rating Scale is incorrect because it requires the child to assign a number (0–10) to describe pain, which is generally suitable for children aged 7 and older who can understand abstract numerical concepts.
Correct Answer is B
Explanation
A. Diphtheria, pertussis, tetanus (DPT) is incorrect because DPT is an inactivated or toxoid vaccine, which is generally safe for immunocompromised children, though efficacy may be reduced during chemotherapy.
B. Measles, rubella, mumps (MMR) is correct because MMR is a live attenuated vaccine. Live vaccines pose a risk of causing infection in immunocompromised children, such as those receiving chemotherapy. Administration should be postponed until immune function recovers, or given with careful evaluation by the healthcare provider.
C. Tetanus vaccine is incorrect because the tetanus vaccine is a toxoid, not live, and is generally safe for children with compromised immunity.
D. Inactivated poliovirus vaccine is incorrect because the inactivated polio vaccine is not live and can be safely administered to immunocompromised children, though immune response may be less robust.
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