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The nurse is assessing a 1-day old neonate and notes white raised spots on the baby's nose. What is the priority response?

Instruct parents to wash area with soap and water.

Notify the healthcare provider.

Explain to the parents that this is a sign of a skin infection.

Instruct parents not to pinch or poke pimple-like areas.

Answer and Explanation

The Correct Answer is D

A. Washing the area aggressively is not necessary.

B. Notification of the healthcare provider is unnecessary for this benign finding.

C. Milia are not a sign of infection.

D. The white spots are milia, a common and benign finding in newborns. Parents should avoid pinching or poking them as they will resolve spontaneously.

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Correct Answer is C

Explanation

A. The circumcision area should be gently cleaned with warm water, not avoided.

B. Retraction of the foreskin is inappropriate as the foreskin is removed during circumcision.

C. Bright red bleeding is abnormal and requires immediate medical attention.

D. The yellow crust is part of normal healing and should not be scrubbed off.

A. Dry the neonate immediately. B. Perform APGAR screening every 30 minutes until scores are 27. C. Complete neonatal assessment prior to allowing the baby to feed. D. Obtain blood sample to test for blood type.

Correct Answer is A

Explanation

A. The nurse should dry the neonate immediately after birth to prevent heat loss, as newborns are at risk for hypothermia.
B. APGAR scoring is typically done 1 and 5 minutes after birth, not every 30 minutes during the 3rd stage of labor.
C. The neonatal assessment is usually performed after the delivery of the placenta, not during the 3rd stage of labor.
D. Blood samples for blood type are typically obtained after the newborn has stabilized, not during the 3rd stage of labor.

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The nurse is assessing a 1-day old neonate and notes white raised spots on the baby's nose. What is the priority response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reinforcing education about circumcision care. Which statement by the parents demonstrates an understanding?

Correct Answer is C

Explanation

The nurse is providing care for a neonate during the 3rd stage of labor. Which action does the nurse take during this stage?

Correct Answer is A

Explanation

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