The nurse is conducting a newborn assessment and identifies a collection of blood beneath the newborn’s scalp that does not cross the suture lines.
How should the nurse document this finding?
Occiput posterior.
Caput succedaneum.
Cephalohematoma.
Sinciput.
The Correct Answer is C
Choice A rationale
Occiput posterior is a term used to describe the position of the baby’s head during labor and delivery, not a condition related to a collection of blood beneath the newborn’s scalp.
Choice B rationale
Caput succedaneum refers to a localized swelling of the scalp of a newborn caused by pressure on the head during delivery. It is not limited by suture lines and usually resolves within a few days.
Choice C rationale
Cephalohematoma is a collection of blood under the scalp of a newborn baby, specifically between the scalp and the skull, and does not cross the suture lines. It is usually caused by minor trauma to the head during childbirth.
Choice D rationale
Sinciput is a term used to describe the part of the fetal head that is presented first in childbirth, not a condition related to a collection of blood beneath the newborn’s scalp.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
The palpability of the posterior fontanel is not related to the position of the fetus.
Choice B rationale
The level of the ischial spines refers to the station of the fetus, not its position.
Choice C rationale
The passage of the largest fetal diameter through the pelvic outlet is a stage of labor, not a fetal position.
Choice D rationale
This is the correct answer. The left occiput posterior position refers to the position of the fetal head.
Correct Answer is ["A","D"]
Explanation
Choice A rationale
The client understanding the importance of monitoring their incision for signs of infection, such as discharge, indicates effective teaching. It is crucial for the client to report any changes to their healthcare provider promptly.
Choice B rationale
Having a fever during the first week at home is not a normal postoperative symptom and could indicate an infection. Therefore, this statement does not indicate effective teaching.
Choice C rationale
Resting in a recliner until the incision is healed is not necessary. While it’s important for the client to rest and recover after surgery, they should also engage in light physical activity, such as walking, to promote circulation and prevent complications such as blood clots.
Choice D rationale
The client should not have unrelieved pain in their abdomen. Persistent pain could indicate a complication, such as an infection or a hematoma. Therefore, this statement indicates effective teaching.
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