Author Question: The nurse notices that an infant has a large, soft lump on the side of his head and that his mother ... (Read 86 times)

soccerdreamer_17 · **on:** Jun 25, 2018

The nurse notices that an infant has a large, soft lump on the side of his head and that his mother is very concerned. She tells the nurse that she noticed the lump approximately 8 hours after her baby's birth and that it seems to be getting bigger.

One possible explanation for this is:
a.
Hydrocephalus.
b.
Craniosynostosis.
c.
Cephalhematoma.
d.
Caput succedaneum.

Question 2

A patient's thyroid gland is enlarged, and the nurse is preparing to auscultate the thyroid gland for the presence of a bruit. A bruit is a __________ sound that is heard best with the __________ of the stethoscope.

a. Low gurgling; diaphragm
b. Loud, whooshing, blowing; bell
c. Soft, whooshing, pulsatile; bell
d. High-pitched tinkling; diaphragm

Jadwiga9 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
A cephalhematoma is a subperiosteal hemorrhage that is the result of birth trauma. It is soft, fluctuant, and well defined over one cranial bone. It appears several hours after birth and gradually increases in size.

Answer to Question 2

ANS: C
If the thyroid gland is enlarged, then the nurse should auscultate it for the presence of a bruit, which is a soft, pulsatile, whooshing, blowing sound heard best with the bell of the stethoscope.