A nursery nurse is performing a shift assessment on a baby who was born 8 hours ago via a vacuum-assisted vaginal birth and notices caput succedaneum. Which of the following statements regarding caput succedaneum is correct?
"Caput succedaneum is a concern and I need to call the pediatrician right away."
"Caput succedaneum is self-limiting and goes away on its own within 3-5 days.
Caput succedaneum is caused by the cranial bones changing shape to get through the maternal pelvis.
"Caput succedaneum is bleeding on the brain that does not cross the suture line."
The Correct Answer is B
Caput succedaneum is a common condition in newborns that causes swelling of the soft tissues of the scalp. It is usually caused by pressure on the baby's head during delivery and can be seen in both vaginal and instrumental births, such as vacuum-assisted deliveries. It generally crosses the suture lines, unlike a cephalohematoma.
Caput succedaneum is not a serious condition and generally resolves on its own within a few days without any treatment. However, the nurse should continue to monitor the newborn for signs of jaundice, which can occur due to the breakdown of red blood cells in the swelling.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The baseline fetal heart rate is the average heart rate over a 10-minute period, excluding accelerations and decelerations, and is an important indicator of fetal well-being during labor.
A baseline fetal heart rate of 110-160 beats/min is considered normal. A baseline heart rate of less than 110 beats/min is considered bradycardia, which can be a sign of fetal distress or hypoxia. A baseline heart rate greater than 160 beats/min is considered tachycardia, which can also be a sign of fetal distress or hypoxia.
Correct Answer is B
Explanation
Placenta previa is a condition where the placenta implants low in the uterus, covering part or all of the cervix. This can cause bleeding and can be dangerous for both the mother and the baby. In cases of placenta previa, a cesarean delivery is necessary to avoid complications. Therefore, it is not safe for the patient to deliver vaginally.
Betamethasone is indicated in delivery anticipated before 34 weeks gestation. Vaginal exams may cause more bleeding in the event of placenta previa.
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