A nurse is collecting data from a newborn immediately after delivery by a client who was at 42 weeks of gestation. Which of the following findings should the nurse expect?

Choice A reason:

Nevus flammeus is a port-wine stain, a type of birthmark that is present at birth and does not fade over time. It is caused by a malformation of capillaries in the skin and appears as a reddish-purple patch. It can occur anywhere on the body but is not associated with swelling or suture lines.

Choice B reason:

Cephalhematoma is a collection of blood under the periosteum of the skull bone, usually caused by trauma during delivery. It appears as a swollen area on the head that does not cross the suture line because it is limited by the boundaries of the bone. It usually resolves within a few weeks or months without treatment.

Choice C reason:

Molding is the temporary change in the shape of the newborn's head due to the pressure of the birth canal during delivery. It results in an elongated or cone-shaped head that may cross the suture line. It usually resolves within a few days as the skull bones return to their normal position.

Choice D reason:

Caput succedaneum is a localized swelling of the scalp, usually caused by pressure from the cervix or vacuum extraction during delivery. It appears as a soft, puffy area on the head that crosses the suture line because it is not limited by the bone. It usually resolves within a few days without treatment.

Choice A reason:

Drowsy. This is not the best state for feeding a newborn, because the baby may fall asleep before finishing the feed or may not latch on well. A drowsy baby may also have trouble swallowing or coordinating sucking and breathing. •

Choice B reason:

Crying. This is also not a good state for feeding a newborn, because crying is a late sign of hunger and indicates that the baby is already distressed. A crying baby may have difficulty calming down enough to feed or may gulp air and become gassy. •

Choice C reason:

Active alert. This is a possible state for feeding a newborn, but not the most optimal one. An active alert baby may be easily distracted by noises or movements around them or may become fussy or overstimulated if they are not fed quickly enough. •

Choice D reason:

Alert. This is the best state for feeding a newborn because the baby is awake, calm, and attentive to their surroundings. An alert baby will show signs of hunger such as rooting, smacking their lips, or sucking their fingers, and will be ready to latch on and feed well.