A mother is upset because her newborn has erythema toxicum neonatorum. What information should the nurse base the response to the mother?

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Question 1 of 5

A mother is upset because her newborn has erythema toxicum neonatorum. What information should the nurse base the response to the mother?

Correct Answer: B

Rationale: Erythema toxicum neonatorum is a common benign and transient rash that affects newborns. It typically appears in the first days of life and presents as red or pink blotches with small white or yellow papules in the center. The rash is not harmful, usually resolves on its own within a few days, and does not require treatment. Educating the mother that erythema toxicum neonatorum is a benign and transient condition can help alleviate her concerns and reassure her that it is a normal occurrence in newborns.

Question 2 of 5

The nurse is caring for a preterm newborn who requires mechanical ventilation for the treatment of respiratory distress syndrome. What is the preterm newborn at increased risk of due to the mechanical ventilation?

Correct Answer: A

Rationale: Preterm newborns who require mechanical ventilation are at increased risk of developing alveolar rupture. The pressure from mechanical ventilation can lead to overdistension of the alveoli, causing damage to their delicate structure. This can result in the rupture of the alveolar walls, leading to a condition known as pulmonary interstitial emphysema. Alveolar rupture can contribute to the development of other complications such as pneumothorax and air leaks, which can further compromise the newborn's respiratory status. Therefore, close monitoring and adjustment of ventilation parameters are crucial in the care of preterm newborns on mechanical ventilation to minimize the risk of alveolar rupture and its associated complications.

Question 3 of 5

The nurse is preparing to care for a newborn receiving phototherapy. Which interventions are appropriate? (Select all that apply.)

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Where in the health history should the nurse describe all details related to the chief complaint?

Correct Answer: C

Rationale: The nurse should describe all details related to the chief complaint under the "Present illness" section of the health history. This section focuses specifically on the patient's current health problem, including the onset, duration, severity, aggravating or alleviating factors, and associated symptoms. It provides a comprehensive understanding of the chief complaint and helps guide further assessment and treatment interventions. The "Chief complaint" section typically contains a concise statement from the patient regarding the main reason for seeking healthcare.

Question 5 of 5

During a routine health assessment, the nurse notes that an 8-month-old infant has significant head lag. Which is the nurse's most appropriate action?

Correct Answer: C

Rationale: Significant head lag in an 8-month-old infant can be a concerning sign indicating potential developmental delays or muscle weakness. The most appropriate action for the nurse in this situation is to refer the child for further evaluation by a healthcare provider, such as a pediatrician or developmental specialist, to assess and address the underlying cause of the head lag. It is important to rule out any potential developmental issues early on to provide the necessary interventions and support for the infant's optimal growth and development.

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