A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections. What should the nurse explain?

Correct Answer: D

Rationale: The nurse should explain to the mother that a topical anesthetic, such as EMLA cream, can be applied before the infant receives injections to help minimize discomfort. This option addresses the mother's concern about injection-related discomfort while still prioritizing the importance of immunizations for the infant's health. It provides a practical solution that allows the infant to receive the necessary vaccines without experiencing excessive pain or discomfort.

Correct Answer: D

Rationale: A strawberry hemangioma, also known as an infantile hemangioma, is a bright red, rubbery nodule with a rough surface and a well-defined margin that may be present at birth or appear shortly after. This common type of benign vascular tumor occurs on the skin and typically grows rapidly during the first few months of life before eventually shrinking and disappearing by early childhood. It is composed of an overgrowth of blood vessels and is considered a benign condition that generally does not require treatment unless it interferes with vision, breathing, or other essential functions.

Correct Answer: C

Rationale: Physiologic jaundice in a newborn, also known as neonatal jaundice, is a common condition in newborns characterized by yellow discoloration of the skin and eyes due to elevated levels of bilirubin in the blood. In newborns, the liver is not fully developed, leading to an inability to efficiently process and excrete bilirubin. Bilirubin is a byproduct of the breakdown of red blood cells, and in newborns, the liver may not yet be able to efficiently bind bilirubin for excretion, leading to its accumulation in the blood and manifesting as jaundice. Physiologic jaundice typically occurs around 2 to 4 days after birth and usually resolves on its own without treatment as the baby's liver matures and becomes more efficient at processing bilirubin.

Correct Answer: D

Rationale: Meconium aspiration syndrome occurs when a newborn inhales (aspirates) a mixture of meconium (the baby's first stool) and amniotic fluid while in the uterus or during delivery. This can lead to respiratory distress and obstruction of the airways. The presence of meconium in the lungs can cause inflammation, airway obstruction, and in severe cases, can result in pneumonia or respiratory failure. Bowel obstruction with meconium (Choice C) does not directly cause meconium aspiration syndrome.

Correct Answer: B

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