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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. BAT does not primarily act as insulation but as a heat source.
B. BAT is unrelated to protection from birth injuries.
C. Brown adipose tissue (BAT) is metabolized to generate heat through non-shivering thermogenesis, which is critical for newborns as they cannot shiver effectively.
D. While BAT does provide some energy, its main purpose is heat production, not calorie storage.
Correct Answer is D
Explanation
A. Using a whole hand for gentle containment is more appropriate for calming preterm infants.
B. Promoting flexion, not extension, helps mimic the fetal position and provides comfort.
C. A dimly lit environment is preferred for preterm infants to reduce sensory overload.
D. Clustering care reduces stimulation and promotes rest, which is essential for preterm infant development and reducing stress.
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