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 A
Explanation
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Correct Answer is ["A","E"]
Explanation
Choice A rationale
A cesarean section will be necessary if vaginal lesions are present at the time of labor. This is to prevent the transmission of the herpes virus to the baby during delivery, which can lead to serious complications such as neonatal herpes, a potentially deadly infection.
Choice B rationale
While sitz baths can help alleviate the discomfort caused by genital herpes lesions, they do not directly protect the fetus from herpes infection. The primary purpose of sitz baths in this context is to provide symptomatic relief to the mother.
Choice C rationale
The newborn will not necessarily be observed and treated in the neonatal intensive care unit just because the mother has genital herpes. The need for neonatal intensive care would depend on various factors, including whether the baby contracts the virus during delivery.
Choice D rationale
Total abstinence from sexual intercourse is not necessary during the entire pregnancy. However, it is recommended to abstain from sexual intercourse during active outbreaks to reduce the risk of transmission.
Choice E rationale
Daily administration of Valacyclovir (Valtrex) is necessary after the 36th week of pregnancy. This is known as suppressive therapy, which can help reduce the risk of an outbreak at the time of delivery and thereby reduce the risk of transmitting the virus to the baby.
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