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 C
Explanation
A. “I’m guessing your other parent did not do anything to stop this from happening.”
This statement makes assumptions about the other parent's actions and could lead to further conflict or discomfort for the adolescent. It’s important to avoid making judgments and focus on providing support.
B. “Your parent was wrong to hit you for coming home late.” This statement may come across as judgmental or accusatory, which could hinder communication and trust with the adolescent. It's important to validate their feelings first and address the situation appropriately.
C. “It is not your fault that this happened to you.” This response is empathetic and supportive. It reassures the adolescent, which is an important step in helping them feel safe and understood. It also provides an opportunity for further discussion about their safety.
D. “I won’t tell anyone else about this unless you say it’s okay.” While privacy is important, this could be misleading. In cases of abuse, the nurse is required to report the situation to protect the adolescent, even if they don't consent.
Correct Answer is B
Explanation
A. "You should gradually increase lactose products in your diet." For adolescents with lactose intolerance, gradually increasing lactose products may worsen symptoms. The goal is to reduce or avoid lactose-containing foods to prevent discomfort.
B. "You should drink rice milk instead of cow's milk." Rice milk is lactose-free and can be a suitable alternative to cow's milk for someone with lactose intolerance. It is an appropriate recommendation for managing the condition.
C. "You should limit your intake of calcium-fortified orange juice." Calcium-fortified orange juice is a good source of calcium, and it can be consumed without concern for lactose intolerance. It can help provide calcium, especially if dairy intake is limited.
D. "You should eat flavored yogurt instead of plain yogurt." Flavored yogurt may contain added sugar and artificial ingredients, which are not necessarily better than plain yogurt. Plain yogurt can be easier to digest.
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