The nurse is assessing a term newborn and finds a rash of firm pustules with a red base on the face and trunk. Based on the assessment findings, the nurse determines this about the rash:
It is an abnormal finding called seborrheic dermatitis.
It is a normal finding called Epstein pearls.
It is an abnormal finding indicating congenital syphilis infection.
It is a normal finding called erythema toxicum.
The Correct Answer is D
A. Seborrheic dermatitis presents with greasy, yellow scales on the scalp, not pustules.
B. Epstein pearls are white cystic lesions found on the gums or roof of the mouth.
C. Congenital syphilis presents with more severe systemic signs and not just a pustular rash.
D. Erythema toxicum is a common, benign, self-limiting newborn rash that appears as firm pustules on a red base, typically seen on the face and trunk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}
Explanation
Respiratory Status: The newborn is exhibiting signs of respiratory distress, including a respiratory rate of 100/min, grunting, nasal flaring, and substernal retractions. These findings indicate compromised respiratory function, which requires immediate attention to prevent hypoxemia or respiratory failure. The diffuse radiopaque areas on the chest x-ray suggest a condition like transient tachypnea of the newborn (TTN) or respiratory distress syndrome (RDS), common in low-birth-weight infants.
Temperature: After stabilizing the respiratory status, addressing the newborn’s temperature is important. The temperature of 36.3°C (97.3°F) indicates mild hypothermia, which can further compromise respiratory function and glucose metabolism if not corrected. Warming the infant with skin-to-skin contact or using a radiant warmer is necessary to maintain thermoregulation.
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