A nurse is completing a newborn assessment and notes small raised pearly white spots on the nose and chin.
This finding is characteristic of which of the following?

Erythema toxicum.

Milia spots.

Mongolian spots.

Epstein’s pearls.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Erythema toxicum is a common, benign rash seen in newborns. It appears as red patches with small white or yellow pustules in the center. It is not characterized by small raised pearly white spots on the nose and chin.

Choice B rationale

Milia spots are small raised pearly white spots that commonly appear on the nose, chin, and cheeks of newborns. They are caused by trapped keratin and are harmless, usually resolving on their own within a few weeks.

Choice C rationale

Mongolian spots are flat, blue-gray patches commonly found on the lower back and buttocks of newborns, especially those with darker skin. They are not raised and do not appear on the nose and chin.

Choice D rationale

Epstein’s pearls are small white or yellow cysts found on the gums or roof of the mouth in newborns. They are not found on the nose and chin. .

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Correct Answer is D

Explanation

Choice A rationale

Microcephaly is not typically associated with an increased risk of unconjugated bilirubin and jaundice.

Choice B rationale

Polydactyly is a congenital condition involving extra fingers or toes and is not associated with an increased risk of unconjugated bilirubin and jaundice.

Choice C rationale

Caput succedaneum is a condition involving swelling of the scalp in a newborn and is not typically associated with an increased risk of unconjugated bilirubin and jaundice.

Choice D rationale

Cephalohematoma is a collection of blood between a baby’s scalp and the skull bone. It is associated with an increased risk of unconjugated bilirubin and jaundice due to the breakdown of red blood cells in the hematoma. .

A. Ask another nurse to verify the heart rate as this is an abnormal finding. B. Call the provider and request they come to the hospital immediately for this abnormal finding to further assess the neonate. C. Prepare the newborn for transport to the NICU for further cardiac observation. D. Document the expected finding.

Correct Answer is D

Explanation

Choice A rationale

An apical pulse rate of 124 bpm is within the normal range for a neonate (110-160 bpm). There is no need to ask another nurse to verify the heart rate as it is not an abnormal finding.

Choice B rationale

Calling the provider for an apical pulse rate of 124 bpm is unnecessary as it is within the normal range for a neonate. This action would be appropriate if the heart rate were significantly outside the normal range.

Choice C rationale

Preparing the newborn for transport to the NICU for an apical pulse rate of 124 bpm is not warranted. The heart rate is within the normal range, and there is no indication for further cardiac observation.

Choice D rationale

Documenting the expected finding is the appropriate action. An apical pulse rate of 124 bpm is within the normal range for a neonate, and no further action is needed.

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A nurse is completing a newborn assessment and notes small raised pearly white spots on the nose and chin.This finding is characteristic of which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nursery nurse is receiving a report on her assigned 4 neonates.Which of the following conditions is high risk for unconjugated bilirubin and jaundice?

Correct Answer is D

Explanation

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Correct Answer is D

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A nurse is completing a newborn assessment and notes small raised pearly white spots on the nose and chin.
This finding is characteristic of which of the following?