The nurse is making an initial assessment of the newborn. The findings include a chest circumference of 32.5 cm, and a head circumference of 33.5 cm. Based on these findings, which action should the nurse take first?
A. Notify the physician.
B. Elevate the newborn's head.
C. Document the findings in the chart.
D. Assess for hypothermia immediately.
Question 2
A new mother is concerned about a mass on her newborn's head. The nurse assesses this, and finds it to be a cephalhematoma. Which of the following characteristics would indicate a cephalhematoma? (Select all that apply.)
A. The mass appeared on the second day after birth.
B. The mass appears larger when the newborn cries.
C. The head appears asymmetrical.
D. The mass is purplish in color.
E. The mass overrides the suture line.
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