A nurse observes that an infant has an elongated head shape due to molding during delivery.
The nurse explains to the parents that this condition is called:
Caput succedaneum
Cephalohematoma
Craniosynostosis
Plagiocephaly
The Correct Answer is D
Plagiocephaly.
This condition is also known as flat head syndrome and it occurs when an infant’s head shape becomes flattened due to external pressure. It can be caused by molding during delivery or by sleeping in the same position for a long time.
Choice A is wrong because caput succedaneum is a swelling of the scalp that results from pressure on the baby’s head during childbirth. It does not affect the shape of the head, but only causes temporary puffiness and bruising.
Choice B is wrong because cephalohematoma is bleeding under the scalp that occurs when blood vessels are damaged during delivery. It causes a firm lump on one side of the head that does not cross the suture lines.
Choice C is wrong because craniosynostosis is a condition where one or more of the sutures (joints) between the skull bones close prematurely, preventing normal growth of the head. It can cause an abnormal head shape, but it is not related to molding during delivery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Apply a thin ribbon of ointment along the inner canthus of each eye.This is the recommended method for administering erythromycin ointment to a newborn’s eyes as prophylaxis for gonorrhea and chlamydia infections.The ointment should be applied into the conjunctival sac to avoid accidental injury to the eye.
ChoiceBis wrong because the eyes should not be wiped off after applying the ointment.The ointment will gradually dissolve and disperse over the eye surface.
ChoiceCis wrong because the medication is an ointment, not a drop.
A drop would not provide adequate coverage of the eye and would be more likely to cause irritation
Correct Answer is C
Explanation
The newborn had some problems at birth but is now in excellent condition.
The Apgar score is a method of assessing the health of a newborn on a scale of 0 to 10 based on five criteria: appearance, pulse, grimace, activity, and respiration.
A score of 7 to 10 indicates that the newborn is in good condition and does not need any special care.
A score of 4 to 6 indicates that the newborn has some problems and may need some assistance.
A score of 0 to 3 indicates that the newborn is in serious trouble and needs immediate medical attention.
Choice A is wrong because a score of 8 at one minute after birth does not indicate a difficult transition.
It means that the newborn had only minor problems and was in good condition.
Choice B is wrong because a score of 10 at five minutes after birth does not indicate an improvement from a score of 8.
It means that the newborn had no problems and was in excellent condition.
Choice D is wrong because a score of 10 at five minutes after birth does not indicate a deterioration from a score of 8.
It means that the newborn had no problems and was in excellent condition.
Normal ranges for the Apgar score are:
• At one minute after birth: 7 to 10
• At five minutes after birth: 8 to 10
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