While performing a physical assessment of a newborn boy, the nurse notes diffuse edema of the soft tissues of his scalp that crosses suture lines. The nurse documents this finding as:

cephalhematoma.

molding

microcephaly

caput succedaneum

Answer and Explanation

The Correct Answer is D

A. Cephalhematoma refers to a collection of blood between the baby's skull and the periosteum (the membrane covering the bone), which does not cross the suture lines. It typically occurs after a traumatic delivery, but it is not diffuse edema like caput succedaneum.

B. Molding refers to the shaping of the baby’s head to fit through the birth canal during delivery. It involves temporary changes to the skull bones (such as overlapping sutures) but does not involve edema or soft tissue swelling.

C. Microcephaly is a condition where a newborn's head is abnormally small, usually due to developmental issues, and it has nothing to do with edema or swelling of the soft tissues.

D. Caput succedaneum is the correct term for diffuse edema of the newborn’s scalp that crosses the suture lines. It is caused by the pressure during delivery as the baby's head moves through the birth canal, and it typically resolves within a few days after birth.

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Correct Answer is B

Explanation

A. Convection is the loss of heat due to air or fluid movement around the body. While keeping the newborn warm in a draft-free area can help with this, the blanket on the scale primarily addresses heat loss through contact with the cold surface.
B. Conduction occurs when heat is transferred from the baby’s body to a cooler surface that it comes into direct contact with, like the cold scale. By placing a warmed blanket on the scale, the nurse minimizes heat loss due to conduction, ensuring the baby stays warm.
C. Radiation involves heat transfer to cooler objects nearby, but a warmed blanket on the scale does not directly address heat loss through radiation.
D. Evaporation occurs when moisture on the skin evaporates, taking heat away. A warmed blanket would not primarily address evaporation; it’s meant to prevent conduction heat loss.

A. to enhance the clearing of the newborn's respiratory passages B. to aid in maturing the newborn's sucking reflex C. to encourage the development of maternal antibodies D. to facilitate maternal-infant bonding

Correct Answer is D

Explanation

A. To enhance the clearing of the newborn's respiratory passages is not the primary reason for putting the newborn to the breast immediately. While early skin-to-skin contact and breastfeeding are beneficial, the clearing of respiratory passages is more directly related to the initial care the baby receives (such as suctioning if necessary), not breastfeeding.

B. To aid in maturing the newborn's sucking reflex is not the main reason for immediate breastfeeding. The sucking reflex is typically well-established in most newborns by the time of birth, and breastfeeding can help reinforce it. However, the reflex is present and functional even if the baby is not immediately breastfeeding.

C. To encourage the development of maternal antibodies is important in the longer term. Breastfeeding does provide immunological benefits to the baby (like colostrum), but the immediate reason for putting the baby to the breast is more about bonding and initiating breastfeeding.

D. To facilitate maternal-infant bonding is the primary reason for encouraging early breastfeeding. Skin-to-skin contact and breastfeeding immediately after birth promote emotional bonding between the mother and baby, which is beneficial for both. It also promotes the release of oxytocin in the mother, which supports uterine involution and maternal well-being.

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While performing a physical assessment of a newborn boy, the nurse notes diffuse edema of the soft tissues of his scalp that crosses suture lines. The nurse documents this finding as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse places a warmed blanket on the scale when weighing a newborn to minimize heat loss via which mechanism?

Correct Answer is B

Explanation

The nurse encourages the mother of a healthy newborn to put the newborn to the breast immediately after birth for which reason?

Correct Answer is D

Explanation

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