Nursing Assessment

Nursing Assessment ( 6 Questions)

Question 1 :

A nurse is assessing a newborn’s color and oxygenation.

What is the term for the bluish discoloration of the hands and feet that is normal in newborns?



Correct Answer: A

Acrocyanosis is the term for the bluish discoloration of the hands and feet that is normal in newborns. It is caused by poor peripheral circulation and ineffective temperature regulation. It usually disappears within 24 to 48 hours after birth.

Choice B is wrong because cyanosis is the bluish discoloration of the skin and mucous membranes that indicates inadequate oxygenation.

It is not normal in newborns and requires immediate intervention.

Choice C is wrong because pallor is the paleness of the skin that indicates poor perfusion or anemia.

It is not normal in newborns and requires further evaluation.

Choice D is wrong because jaundice is the yellowish discoloration of the skin and sclera that indicates elevated bilirubin levels.

It is not normal in newborns within the first 24 hours of life and may indicate hemolytic disease or liver dysfunction.


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