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The nursery nurse is receiving a report on her assigned 4 neonates.
Which of the following conditions is high risk for unconjugated bilirubin and jaundice?

Microcephaly.

Polydactyly.

Caput succedaneum.

Cephalohematoma.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Microcephaly is not typically associated with an increased risk of unconjugated bilirubin and jaundice.

Choice B rationale

Polydactyly is a congenital condition involving extra fingers or toes and is not associated with an increased risk of unconjugated bilirubin and jaundice.

Choice C rationale

Caput succedaneum is a condition involving swelling of the scalp in a newborn and is not typically associated with an increased risk of unconjugated bilirubin and jaundice.

Choice D rationale

Cephalohematoma is a collection of blood between a baby’s scalp and the skull bone. It is associated with an increased risk of unconjugated bilirubin and jaundice due to the breakdown of red blood cells in the hematoma. .

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Correct Answer is B

Explanation

Choice A rationale

A newborn with a temperature of 37.0°C (98.6°F) is within the normal range for newborns and does not require immediate intervention.

Choice B rationale

A newborn who has not voided within 27 hours post-delivery requires immediate intervention. Newborns should void within the first 24 hours of life. Failure to void may indicate dehydration, urinary tract obstruction, or renal issues.

Choice C rationale

A newborn who has not passed meconium within 18 hours post-delivery is concerning but not as urgent as not voiding. Newborns typically pass meconium within the first 24-48 hours.

Choice D rationale

Acrocyanosis, or bluish discoloration of the hands and feet, is common in newborns and usually resolves on its own. It does not require immediate intervention.

A. Faint red marks on the plantar surface. B. Copious vernix. C. Dry, cracked skin. D. Scant scalp hair.

Correct Answer is C

Explanation

Choice A rationale

Faint red marks on the plantar surface are more common in preterm infants and are not typically seen in post-term infants.

Choice B rationale

Copious vernix is usually seen in preterm infants. Post-term infants often have little to no vernix.

Choice C rationale

Dry, cracked skin is a common finding in post-term infants due to prolonged exposure to the amniotic fluid.

Choice D rationale

Scant scalp hair is more common in preterm infants. Post-term infants usually have more developed hair.

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The nursery nurse is receiving a report on her assigned 4 neonates.
Which of the following conditions is high risk for unconjugated bilirubin and jaundice?