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 C
Explanation
A. Post-term infants typically have decreased vernix.
B. Post-term infants may have reduced subcutaneous fat, not increased.
C. Post-term infants (>42 weeks) often have dry, cracked, peeling skin due to reduced vernix and prolonged exposure to amniotic fluid.
D. Post-term infants usually have abundant scalp hair.
Correct Answer is B
Explanation
A. While concerning, delayed meconium passage can be monitored for a few more hours.
B. Newborns should void within 24 hours of birth. Failure to void may indicate renal issues or dehydration and requires immediate evaluation.
C. A temperature of 37.5° C is within the normal range for a newborn.
D. Acrocyanosis (bluish discoloration of the hands and feet) is normal in the first 24-48 hours after birth and typically resolves without intervention.
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