A nurse is caring for a newborn delivered by vaginal birth. The newborn's mother asks about the swollen area on her son's head. After palpation to identify that the swelling does not cross the suture line, which of the following is an appropriate response by the nurse?

"Mongolian spots can be found on the skin of many newborns."

"This is erythema toxicum, which is a transient condition."

"A caput succedaneum occurs due to compression of blood vessels."

"This is a cephalhematoma, which can occur spontaneously."

Answer and Explanation

The Correct Answer is D

A. Mongolian spots are flat pigmented areas, typically on the lower back, unrelated to swelling.
B. Erythema toxicum is a benign newborn rash, not swelling.
C. Caput succedaneum involves soft tissue swelling that does cross suture lines.
D. A cephalhematoma is a collection of blood between the periosteum and skull that does not cross the suture line. It often resolves spontaneously within a few weeks.

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Correct Answer is A

Explanation

A. Baby powder should be avoided as it can be inhaled by the newborn, leading to respiratory issues.

B. Using mild soap is an appropriate practice for newborn care to avoid skin irritation.

C. Testing the water on the wrist of the caregiver’s hand before bathing minimizes the risk of burns,

D. Using a basin during bathing is an appropriate practice for newborn care.

A. No bowel movement within 12 hours. B. Small regurgitation of undigested formula after feedings. C. Abdominal distension. D. Uncoordinated suck.

Correct Answer is C

Explanation

A. No bowel movement within 12 hours: While concerning, delayed stooling can occur in preterm infants and is not as urgent without additional symptoms like distension or bilious vomiting.
B. Small regurgitation of formula: Regurgitation is a common finding in preterm infants and typically not alarming unless persistent or associated with other symptoms like aspiration.
C. Abdominal distension: This finding may indicate necrotizing enterocolitis (NEC) or an obstruction, both of which are serious conditions requiring prompt medical attention.
D. Uncoordinated suck: This is expected in preterm infants due to immaturity and does not require immediate reporting.

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A nurse is caring for a newborn delivered by vaginal birth. The newborn's mother asks about the swollen area on her son's head. After palpation to identify that the swelling does not cross the suture line, which of the following is an appropriate response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about newborn care with a postpartum client. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is A

Explanation

The nurse is caring for a preterm formula fed infant. What finding would be most important to report to the healthcare provider?

Correct Answer is C

Explanation

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