Which instruction by the nurse for parents of an infant with areas of scaly skin on their scalp, also known as cradle cap is accurate?
Use a soft-bristled brush to gently loosen the scales and rinse them off.
Skip washing the baby's hair altogether to avoid irritating the skin further.
Rub lemon juice on the affected areas to help exfoliate the scales.
Apply adult-strength dandruff shampoo to the affected areas
The Correct Answer is A
A. Using a soft-bristled brush to gently loosen the scales and rinse them off is the recommended approach for cradle cap (seborrheic dermatitis of infancy). Parents can also apply a small amount of baby oil or mineral oil to soften the scales before brushing. This method is gentle, safe, and effective.
B. Skipping hair washing may actually worsen cradle cap, since regular gentle shampooing helps remove excess oils and prevent buildup of scales.
C. Rubbing lemon juice on the scalp can cause skin irritation and is not recommended in infants.
D. Applying adult-strength dandruff shampoo is unsafe for infants due to the harsh chemicals it contains. Only mild baby shampoos or pediatrician-recommended medicated shampoos should be used if needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Bleeding is the most concerning complication after a tonsillectomy. Frequent swallowing, especially when not associated with eating or drinking, may indicate that the child is swallowing blood trickling down the throat. This can be life-threatening if not identified promptly. Nurses should closely monitor for this subtle but critical sign.
B. Dehydration may occur after tonsillectomy if the child avoids drinking due to pain, but it presents with dry mucous membranes, decreased urine output, or lethargy—not frequent swallowing.
C. Allergic reaction to medications may cause rash, swelling, or respiratory distress, but it does not typically present as frequent swallowing.
D. Infection may occur several days postoperatively with fever, pain, and foul odor, but frequent swallowing is not the hallmark sign.
Correct Answer is A
Explanation
A. Inspecting the baby’s genitalia and urethral opening is the priority assessment in hypospadias. Hypospadias is a congenital condition in which the urethral opening is located on the ventral (underside) surface of the penis rather than at the tip. Accurate inspection is essential for confirming the diagnosis, determining severity, and guiding surgical planning. It is also important for educating parents about delaying circumcision, since foreskin tissue may be needed for repair.
B. Checking the baby’s respiratory rate is a routine newborn assessment, but it is not specific to hypospadias and is not the priority focus when this condition is suspected.
C. Measuring head circumference is important in general newborn care to track growth and neurological development but is unrelated to hypospadias.
D. Assessing the baby’s ability to breastfeed is essential in overall newborn health, but it does not address the condition of hypospadias.
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