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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. The entry of air into the alveoli, replacing expelled amniotic fluid, is a critical mechanical stimulus that initiates the transition to neonatal breathing.
B. Decreased oxygen levels trigger chemical, not mechanical, stimuli.
C. The diaphragm moves downward during inspiration, not upward.
D. Drying and stimulation help initiate breathing through sensory stimulation, not mechanical.

A. Administer oxygen. B. Place newborn in an isolette. C. Apply pulse oximeter. D. Swaddle baby in blankets.

Correct Answer is D

Explanation

A. Administering oxygen is unnecessary unless central cyanosis (lips and tongue) is present.
B. An isolette may help with thermoregulation, but swaddling is the more immediate action.
C. Pulse oximetry is unnecessary for peripheral cyanosis.
D. Cyanotic hands and feet (acrocyanosis) are normal in the first 24-48 hours after birth due to immature circulation. Keeping the baby warm by swaddling promotes circulation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

The nurse recognizes mechanical stimuli involved with the transition to extrauterine pulmonary function includes:

Correct Answer is A

Explanation

A nurse completes a newborn assessment on a 6-hour-old newborn. She notices cyanotic hands and feet. Which action is the nurse's priority?

Correct Answer is D

Explanation

The nurse is caring for a 26-week-gestation infant diagnosed with periventricular hemorrhage and currently intubated. What is the most appropriate nursing action(s) for this infant?

The nurse is assessing a 4-hour old newborn. The nurse's findings include an irregular respiratory rate at 58, heart rate of 138 with a regular rhythm, and axillary temperature of 97.4 °F. Based on these assessments which intervention(s) should the nurse perform first?

A nurse is admitting a term newborn following a cesarean birth. The nurse observes that the newborn's skin is slightly yellow. This finding indicates the newborn is experiencing a complication related to which of the following?

A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding. Which of the following statements by the client indicates a need for further teaching?

Complete the following sentence by using the list of options. Clinical management strategies for prevention of retinopathy of prematurity (ROP) focus on targeting appropriate ______ for infants at risk.

A mother is concerned about her 3-day-old breastfeeding newborn whose birth weight was 2678g and is now 2505g. What is the most appropriate response by the nurse?

The nurse is providing education to a mother of an uncircumcised male infant. What hygiene education would be the most appropriate for the nurse to provide?

A nurse is planning care for a preterm newborn. Which of the following nursing interventions to promote development should be included in the plan of care?