The nurse is preparing new parents for discharge with their ...

[DelorasTo]

The nurse is preparing new parents for discharge with their newborn. The father asks the nurse why the baby's head is so pointed and puffy-looking. The best response by the nurse is:
 
  1. His head is molded from fitting through the birth canal. It will become more round.
  2. We refer to that as cone head,' which is a temporary condition that goes away.
  3. It might mean that your baby sustained brain damage during birth, and could have delays.
  4. I think he looks just like you. Your head is much the same shape as your baby's.

Question 2

A nurse suspects that a postpartum patient has mastitis. Which data support this assessment? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
 
  1. Shooting pain in her nipple during breastfeeding
  2. Late onset of nipple pain
  3. Pink, flaking, pruritic skin of the affected nipple
  4. Nipple soreness when the infant latches on
  5. Pain radiating to the underarm area from the breast.

[pocatato]

Answer to Question 1

1
Rationale 1: This statement is accurate and directly answers the father's question.
Rationale 2: Although nursing staff might refer to a molded head as cone head and the shape is temporary, it is better to be more specific in explaining why the head is shaped as it is. In addition, this answer does not answer the why question posed by the father.
Rationale 3: A molded head shape does not indicate brain damage. Molding is normal and transient.
Rationale 4: Although this might be true, it is better to give a factual answer that does not imply that the father's head is abnormally shaped. This answer could be perceived as insulting.

Answer to Question 2

1,2,3
Rationale 1: Mastitis is characterized by shooting pain during and between feedings.
Rationale 2: Mastitis is characterized by late-onset nipple pain.
Rationale 3: The skin of the affected breast becomes pink, flaking, and pruritic.
Rationale 4: Nipple soreness when the infant latches on is not a symptom of mastitis.
Rationale 5: The pain from mastitis does not radiate to the underarm area.