A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn’s mother asks about the swollen area on her son’s head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?

“This is a cephalhematoma, which can occur spontaneously.”

“Caput succedaneum occurs due to compression of blood vessels.”

“This is erythema toxicum, which is a transient condition.”

“Mongolian spots can be found on the skin of many newborns.”

Answer and Explanation

The Correct Answer is B

A.   A cephalhematoma is a collection of blood under the periosteum that does not cross the suture lines and can take weeks to resolve.
B.   Caput succedaneum occurs due to compression of blood vessels during delivery, resulting in edema and bruising of the scalp. It crosses the suture lines and usually resolves within a few days and does not cause any complications.
C. Erythema toxicum is a rash that is unrelated to head swelling.
D.   Mongolian spots are blue-gray patches on the skin, not associated with head swelling.

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Correct Answer is ["A","C","D"]

Explanation

A. Microwaving breast milk decreases vitamin C content.
B. Microwaving does not render the milk tasteless, but it may alter the taste slightly.
C. Microwaving does not heat breast milk evenly, creating hot spots that can burn the baby's mouth.
D. Microwaving can decrease the antiinfective properties of breast milk.
E. Microwaving breast milk does not decrease iron content.

A. The mother should always smoke in another room. B. The effects of secondhand smoke on infants are less significant than for adults. C. No relationship exists between smoking and the time of feedings. D. Smoking has little-to-no effect on milk production.

Correct Answer is A

Explanation

A. Encouraging the mother to smoke in another room helps reduce the exposure of the newborn to secondhand smoke.
B. The effects of secondhand smoke on infants are significant and can increase the risk of respiratory infections, sudden infant death syndrome (SIDS), and other health issues.
C. There is a clear relationship between smoking and breastfeeding, and smoking during breastfeeding should be minimized.
D. Smoking can affect milk production and composition, and it is advisable for breastfeeding mothers to quit smoking.

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A nurse is caring for a newborn delivered by vaginal birth with a vacuum assist. The newborn’s mother asks about the swollen area on her son’s head. After palpation to identify that the swelling crosses the suture line, which of the following is an appropriate response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a new mother the best method to store milk and use it later for feeding. She explains that the breast milk should never be thawed or heated in a microwave oven because of the following reasons. Please select all that apply

Correct Answer is ["A","C","D"]

Explanation

Correct Answer is A

Explanation

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