Author Question: A postpartum mother is concerned that her newborn has not had a stool since birth. The newborn is 18 ... (Read 80 times)

dmcintosh · **on:** Jun 27, 2018

A postpartum mother is concerned that her newborn has not had a stool since birth. The newborn is 18 hours old. What is the nurse's best response?

1. I will call your pediatrician immediately.
2. Passage of the first stool within 48 hours is normal.
3. Your newborn might not have a stool until the third day.
4. Your newborn must be dehydrated.

Question 2

A new mother is concerned about a mass on the newborn's head. The nurse assesses this to be a cephalhematoma based on which characteristics? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Select all that apply. 1. The mass appeared on the second day after birth.
2. The mass appears larger when the newborn cries.
3. The head appears asymmetrical.
4. The mass appears on only one side of the head.
5. The mass overrides the suture line.

raenoj · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
Explanation: 2. The first voiding should occur within 24 hours and first passage of stool within 48 hours.

Answer to Question 2

1,4
Rationale 1: A cephalhematoma is a collection of blood resulting from ruptured blood vessels between the surface of a cranial bone and the periosteal membrane. It can appear between the first and second day after birth.
Rationale 2: A cephalhematoma does not increase in size when the newborn cries.
Rationale 3: Molding causes the head to appear asymmetrical because of the overriding of cranial bones during labor and birth.
Rationale 4: Cephalhematomas can be unilateral or bilateral, but do not cross the suture lines.
Rationale 5: Cephalhematomas can be unilateral or bilateral, but do not cross the suture lines.