A child had an appendectomy and was discharged home at 48 hours ...

[formula1]

A child had an appendectomy and was discharged home at 48 hours postoperative. A week later, the child is readmitted for delayed wound healing. Which causes of delayed wound healing will the nurse review prior to assessing the child? Select all that apply.
 
  1. Infection
  2. Predisposing chronic condition, such as diabetes
  3. Hypervolemia
  4. Inadequate nutrition
  5. Hypoxemia

Question 2

Which would the nurse consider as normal during a newborn assessment? Select all that apply.
 
  1. Swelling over the occiput that crosses suture lines
  2. Tiny white papules located primarily on the nose and chin
  3. Tiny red macules and pustules that come and go, primarily on the trunk and extremities
  4. When the Moro reflex is elicited, the right arm extends and returns to the body. The left arm remains resting against the chest.
  5. Greenish discoloration of skin over the entire body that is not removed by the initial bath

[sailorcrescent]

Answer to Question 1

1, 2, 4, 5
Explanation:
1. Infection can affect healing and cause excessive scarring.
2. Conditions such as diabetes affect circulating blood volume and are known to affect healing.
3. Hypovolemia, not hypervolemia, would inhibit inflammation due to low circulating blood volume.
4. Poor nutrition without proper protein and calorie intake will affect healing.
5. Hypoxemia makes tissues susceptible to infection due to insufficient oxygenation.

Answer to Question 2

1, 2, 3
Explanation:
1. By crossing suture lines, this finding indicates it is caput succedaneum, a normal finding after vaginal delivery. No further evaluation or treatment is needed.
2. This is a description of milia, a normal finding. No further care is required.
3. This is a description of erythema toxicum, a normal newborn finding that requires no further treatment.
4. This Moro reflex is incomplete. Further evaluation is necessary to determine if there has been injury to the right arm and/or shoulder.
5. This is a description of a meconium-stained newborn. The passage of meconium has occurred at a more distant time, leading to the staining. The child will need to be evaluated for meconium aspiration.