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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The entry of air into the alveoli, replacing expelled amniotic fluid, is a critical mechanical stimulus that initiates the transition to neonatal breathing.
B. Decreased oxygen levels trigger chemical, not mechanical, stimuli.
C. The diaphragm moves downward during inspiration, not upward.
D. Drying and stimulation help initiate breathing through sensory stimulation, not mechanical.
Correct Answer is C
Explanation
A. Cotton swabs are unnecessary and may cause irritation.
B. Forcing the foreskin to retract may cause injury.
C. In newborns and infants, the foreskin is typically non-retractable and should not be forcibly retracted. It will gradually separate on its own as the child grows.
D. Regular cleaning of the external genitalia is needed, but without retracting the foreskin.
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