The mother of a 4-day-old calls the pediatrician's office because she is concerned about her infant's skin. Which finding needs to be reported promptly to the child's pediatrician?

There is a small pink patch on the left eyelid and one on the neck.

Skin is peeling on several parts of the infant's body.

Today, the infant's skin has a yellowish tinge.

The hands and feet feel cooler than the rest of the body.

Answer and Explanation

The Correct Answer is C

A. There is a small pink patch on the left eyelid and one on the neck: Small pink patches, such as nevus simplex (stork bites), are common in newborns and typically fade without intervention. These are benign and do not require prompt reporting.

B. Skin is peeling on several parts of the infant's body: Skin peeling is common in full-term newborns during the first week of life due to shedding of the outer epidermis. It is a normal finding and does not usually indicate illness.

C. Today, the infant's skin has a yellowish tinge: Jaundice appearing or intensifying at 4 days of age can indicate hyperbilirubinemia that may require evaluation and treatment. Prompt reporting is necessary to prevent complications such as kernicterus.

D. The hands and feet feel cooler than the rest of the body: Peripheral coolness is common in newborns due to immature circulation and is typically not a sign of serious illness unless accompanied by other symptoms such as lethargy or central cyanosis.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

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

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Conduction: Conduction refers to heat loss that occurs when the newborn comes into direct contact with a cooler surface, such as a scale or examination table. Drying and wrapping do not prevent heat loss by conduction.

B. Radiation: Radiation involves the loss of heat from the newborn to cooler surfaces in the environment without direct contact, such as walls or windows. Wrapping the infant does not primarily prevent heat loss through radiation.

C. Evaporation: Evaporation is the loss of heat that occurs when moisture on the newborn’s skin, such as amniotic fluid, turns into vapor. Quickly drying and wrapping the infant removes moisture from the skin, preventing evaporative heat loss and helping maintain body temperature.

D. Convection: Convection is the loss of heat to cooler air currents around the newborn. While wrapping may reduce some convective loss, the primary mechanism addressed by drying the infant is evaporation.

A. "Breastfeeding releases a hormone that causes your uterus to contract." B. "I’ll get you some aspirin to relieve the cramping that you feel." C. "Afterpains are more intense with your first baby." D. "A change of position when you're breastfeeding might help.”

Correct Answer is A

Explanation

A. Breastfeeding releases a hormone that causes your uterus to contract: Suckling stimulates the release of oxytocin from the posterior pituitary, which promotes uterine contractions. These contractions help the uterus return to its pre-pregnancy size, explaining why afterpains may intensify during breastfeeding.

B. I’ll get you some aspirin to relieve the cramping that you feel: While analgesics can reduce discomfort, the focus is on explaining the physiologic cause of afterpains. Aspirin is generally not recommended for postpartum pain management due to potential bleeding risks.

C. Afterpains are more intense with your first baby: Afterpains are typically more pronounced in multiparas because the uterus has been stretched by previous pregnancies. This explanation does not accurately reflect the usual pattern and may be misleading.

D. A change of position when you're breastfeeding might help: Changing position may improve comfort or latch but does not address the physiologic cause of afterpains. The primary factor increasing pain during breastfeeding is uterine contraction mediated by oxytocin.

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

The mother of a 4-day-old calls the pediatrician's office because she is concerned about her infant's skin. Which finding needs to be reported promptly to the child's pediatrician?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After birth, the nurse quickly dries and wraps the newborn in a blanket. How does this action prevent heat loss?

Correct Answer is C

Explanation

A primipara tells the nurse, "My afterpains get worse when I am breastfeeding." What is the most appropriate nursing response?

Correct Answer is A

Explanation

A nurse is caring for a client who is 6 hours postpartum and asks the nurse to feed her newborn. Which of the following responses should the nurse provide?

The nurse is assessing Apgar score on a newborn. What will be evaluated? (Select all that apply.)

When assessing a preterm infant, the nurse observes nasal flaring, sternal retractions, and expiratory grunting. What do these findings indicate?

What will the nurse expect when assessing the anterior fontanelle of a healthy, full-term newborn?

The nurse is caring for an infant born at 42 weeks. What would the physical assessment reveal?

A full-term newborn weighs 3600 grams at birth. What would the nurse expect the newborn to weigh in grams 3 days later?

A nurse is caring for a client who experienced a vaginal birth 12 hr ago. The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment. Which of the following findings should the nurse expect during this phase?