A nursery nurse is performing a shift assessment on a baby who was born 8 hours ago via a vacuum-assisted vaginal birth and notices caput succedaneum. Which of the following statements regarding caput succedaneum is correct?
"Caput succedaneum is a concern and I need to call the pediatrician right away."
"Caput succedaneum is self-limiting and goes away on its own within 3-5 days.
Caput succedaneum is caused by the cranial bones changing shape to get through the maternal pelvis.
"Caput succedaneum is bleeding on the brain that does not cross the suture line."
The Correct Answer is B
Caput succedaneum is a common condition in newborns that causes swelling of the soft tissues of the scalp. It is usually caused by pressure on the baby's head during delivery and can be seen in both vaginal and instrumental births, such as vacuum-assisted deliveries. It generally crosses the suture lines, unlike a cephalohematoma.
Caput succedaneum is not a serious condition and generally resolves on its own within a few days without any treatment. However, the nurse should continue to monitor the newborn for signs of jaundice, which can occur due to the breakdown of red blood cells in the swelling.
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Correct Answer is D
Explanation
Kangaroo care is skin-to-skin contact between a newborn and parent(s) that helps regulate the infant's temperature, respiratory and heart rates, and enhances parent-infant bonding.
It is recommended for all infants, regardless of their gestational age or health status, and has been found to improve outcomes for premature and low-birth-weight infants. Kangaroo care is not specifically designed to address motor and CNS impairments, nor is it adopted from classical British nursing traditions. While it may help prepare infants for breastfeeding, this is not the primary goal of the intervention.
Correct Answer is C
Explanation
Both genes of a pair must be abnormal for the disorder to be expressed. In autosomal recessive inheritance, the gene for the disorder is located on an autosome (any chromosome other than a sex chromosome) and a person must inherit two copies of the abnormal gene (one from each parent) in order for the disorder to be expressed. If a person inherits only one copy of the abnormal gene, they are a carrier of the disorder but do not typically show symptoms.
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