The nurse is performing a newborn assessment and evaluates a collection of blood beneath the newborn's scalp that does not cross the suture lines. The nurse documents this finding as
Sinciput
Occiput posterior
Caput succedaneum
Cephalohematoma
The Correct Answer is D
D. Cephalohematoma is another condition seen in newborns involving the collection of blood beneath the periosteum of the infant's skull bones. Unlike caput succedaneum, cephalohematoma does not cross suture lines because it is confined by the edges of a single cranial bone.
A. Sinciput refers to the anterior part of the fetal skull. It is not a term used to describe any specific condition or abnormality of the newborn scalp.
B. Occiput posterior refers to the position of the baby's head during labor and delivery, where the back of the baby's head (occiput) is towards the mother's posterior pelvis. It does not describe a scalp condition.
C. Caput succedaneum is a common condition in newborns characterized by swelling or edema of the scalp that crosses suture lines. It typically occurs due to pressure against the mother's cervix or vaginal wall during labor. The swelling is fluid collection beneath the scalp skin and often resolves within a few days without treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.8"]
Explanation
Volume= Desired dose/ available concentration per ml Available concentration per ml= 5000 units/ml Volume= 3800/5000
Volume=0.76mls
= 0.8mls
Therefore, the nurse should administer 0.8mls of heparin
Correct Answer is B
Explanation
B. One of the primary purposes of placing a newborn under a radiant heat warmer is to prevent cold stress. Cold stress occurs when the newborn's body temperature falls below the optimal range, leading to increased metabolic rate, oxygen consumption, and potential complications such as hypoglycemia and respiratory distress. The radiant heat warmer helps maintain the newborn's body temperature within the normal range, minimizing the risk of cold stress.
A. Brown fat production is a physiological response in newborns to help generate heat and maintain body temperature. It is located primarily around the neck, shoulders, and upper back. The use of a radiant heat warmer does not aim to prevent brown fat production but rather supports thermal stability in other ways.
C. Shivering is a response to cold exposure in which the body generates heat through involuntary muscle contractions. Newborns have limited ability to shiver effectively to increase body temperature. The use of a radiant heat warmer prevents the need for shivering by maintaining a warm environment around the newborn.
D. The basal metabolic rate (BMR) refers to the minimum energy expended by the body at rest to maintain vital functions such as breathing and circulation. While maintaining thermal stability is important for overall metabolic processes, the primary goal of using a radiant heat warmer is not to reduce BMR but rather to prevent hypothermia and its associated complications.
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