A nurse in a provider's office is collecting data from a 6-week-old infant who developed an uncomplicated cephalohematoma at birth. Which of the following locations should the nurse assess to determine if the infant's lesion has absorbed(You will find hot spots to select in the artwork below in the form of arrows. Select only the hot spot that corresponds to your answer.)
The Correct Answer is "{\"xRanges\":[324.828125,364.828125],\"yRanges\":[66,106]}"
A. This area is over the cheek and facial soft tissue. Cephalohematomas do not occur here, as they are confined to the skull bones under the periosteum.
B. This point is positioned over the parietal area of the skull, the typical site for cephalohematoma formation due to birth trauma. Cephalohematoma is a subperiosteal hemorrhage confined to the surface of the skull, most commonly over the parietal bone, and does not cross suture lines. Palpating this area helps determine whether the lesion has resolved or calcified.
C. This region is the lower abdominal or pelvic area, which is not relevant for assessing cranial birth trauma like cephalohematoma.
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Correct Answer is D
Explanation
A. "You should position the car seat at a 30-degree angle." The correct angle for rear-facing car seats is 45 degrees. A 30-degree angle may cause the infant’s head to fall forward, increasing the risk of airway obstruction.
B. "You should place a folded blanket to pad the back of the infant's head." Extra padding behind or around the infant's head is not recommended as it may interfere with the seat’s effectiveness and safety in a crash.
C. "You should use a car seat with a four-point harness." The recommended harness system is a five-point harness, which provides more secure restraint at the shoulders, hips, and between the legs.
D. "You should place the retainer clip at the level of the infant's armpits." Correct placement of the retainer (chest) clip is at armpit level. This ensures that the harness straps stay positioned over the shoulders, reducing the risk of injury during a crash.
Correct Answer is A
Explanation
A. Administer two puffs of albuterol: Albuterol is a bronchodilator used as a quick-relief (rescue) medication for asthma attacks. It helps to open the airways and alleviate difficulty breathing. The nurse should administer albuterol as directed to help relieve the child’s symptoms.
B. Instruct the child to perform controlled breathing exercises: While controlled breathing exercises can be helpful for managing asthma, they are not the first action during an acute asthma attack. The priority is to use a quick-relief medication like albuterol.
C. Place the child in the supine position: Placing the child in the supine (lying flat) position could worsen breathing difficulty. The child should be placed in an upright position to help facilitate better airflow and reduce breathing distress during an asthma attack.
D. Encourage the use of a flutter mucus clearance device: A flutter mucus clearance device is used to help clear mucus in the lungs, but it is not appropriate for managing acute asthma symptoms. The priority is to administer a bronchodilator to relieve airway constriction.
Complete the following sentence by using the lists of options.
The nurse should recommend to