When assessing a newborn shortly after birth, the nurse finds flat, irregular pinkish marks the forehead, the nape of the neck and the eyelids. The areas blanch when pressed with a finger. The nurse would document this finding as:
milia
telangiectatic nevi (stork bites)
nevus flammeus (port wine stain)
nevus vasculosus (strawberry mark)
The Correct Answer is B
A) Milia:
Milia are tiny white or yellowish cysts that appear on a newborn's face, particularly on the nose, chin, or forehead. They are caused by the accumulation of keratin under the skin. Milia usually disappear within a few weeks of life and are not related to the pinkish marks described in the question.
B) Telangiectatic nevi (stork bites):
This finding is consistent with telangiectatic nevi, also known as stork bites. These are flat, irregular, pinkish-red marks often found on the forehead, eyelids, and nape of the neck. They are caused by dilated capillaries in the skin and are common in newborns. The marks blanch when pressed and are usually harmless, disappearing within the first 1-2 years of life. This is the correct answer based on the description provided in the question.
C) Nevus flammeus (port wine stain):
A port wine stain is a dark red to purple, flat birthmark caused by capillary malformations. Unlike stork bites, a port wine stain does not blanch when pressed and is typically present for life. It usually appears on the face, neck, or arms, and the coloration remains the same over time.
D) Nevus vasculosus (strawberry mark):
A strawberry mark is a raised, red, and bumpy birthmark that results from proliferation of capillaries. These marks typically appear in the first few weeks of life and grow in size before eventually shrinking and disappearing by the age of 5-10 years. Strawberry marks are not flat, pinkish, or blanchable, making this option unlikely in the scenario described.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3.6"]
Explanation
Given:
Desired dose: Ceftazidime 1 g IM every 6 hours
Available concentration: Ceftazidime 280 mg/mL
To find:
Volume to administer (in mL)
Step 1: Convert desired dose to milligrams
1 gram (g) is equal to 1000 milligrams (mg).
Multiply by 1000:
Desired dose (mg) = Desired dose (g) x 1000
Desired dose (mg) = 1 g x 1000 = 1000 mg
Step 2: Set up the proportion
We can use the following proportion to solve the problem:
(Desired dose) / (Available concentration) = Volume to administer
Step 3: Substitute the values
Plugging in the given values, we get:
(1000 mg) / (280 mg/mL) = Volume to administer
Step 4: Simplify
To simplify, we can invert the denominator and multiply:
(1000 mg) x (1 mL / 280 mg) = Volume to administer
The "mg" units cancel out, leaving us with:
(1000 x 1 mL) / 280 = Volume to administer
Step 5: Calculate
Performing the multiplication and division, we get:
1000 mL / 280 = Volume to administer
3.57 mL ≈ Volume to administer
Step 6: Round to the nearest tenth
3.6mL
Correct Answer is D
Explanation
A) Sublimation:
Sublimation refers to a defense mechanism where a person redirects potentially negative emotions or impulses into socially acceptable behaviors or activities. While this is a psychological concept, it does not apply to the father’s behavior immediately after birth. The father's actions, such as gazing at his baby and bonding, are not a result of sublimation but rather a normal part of bonding and attachment.
B) Claiming:
Claiming refers to the process where parents identify specific traits or characteristics in their newborn that they feel emotionally connected to, such as "He has my eyes" or "She has your nose." While the father might be engaging in claiming behaviors as he bonds with his baby, this term is more focused on recognizing physical attributes, rather than the intense emotional connection and captivation that is reflected in the scenario.
C) Mutuality:
Mutuality involves the reciprocal relationship between the newborn and the parents, where both give and receive emotional responses. It develops as the baby and parent interact, such as through eye contact, touch, and vocalizations. However, mutuality is a broader, ongoing process, while the father's behavior in this instance reflects a more specific emotional attachment and admiration, which aligns more closely with engrossment.
D) Engrossment:
Engrossment refers to the intense fascination and preoccupation that a parent, especially a father, feels toward their newborn. This process is characterized by behaviors such as gazing at the baby, holding them closely, and being captivated by their every movement. The father’s behavior in this scenario—staring into his baby’s eyes and showing deep emotional engagement—fits the definition of engrossment, which is a common and normal part of the bonding process immediately after birth.
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