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. Providing iodine solution is a standard task, not advocacy.
B. Preparing equipment is part of procedural support, not advocacy.
C. Providing sucrose and non-nutritive sucking has been shown to reduce procedural pain in neonates, demonstrating advocacy for the infant’s comfort.
D. Restraining is necessary but does not directly advocate for comfort.
Correct Answer is ["A","C","D"]
Explanation
A. Tachycardia: A compensatory response to cold stress as the infant tries to generate heat.
B. Shivering: Rare in newborns due to immature thermoregulation; not a common finding.
C. Hypoglycemia: Cold stress increases glucose consumption, risking hypoglycemia.
D. Lethargy: A late sign indicating worsening cold stress and potential hypothermia.
E. Hypertonia: Unrelated to cold stress, which more commonly causes hypotonia.
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