During a physical assessment of a newborn, the nurse observes ...

[imanialler]

During a physical assessment of a newborn, the nurse observes bluish markings across the newborn's lower back. The nurse documents this finding as which of the following?
 
  A) Milia
  B) Mongolian spots
  C) Stork bites
  D) Birth trauma

Question 2

The nurse is identifying nursing diagnoses appropriate for a pregnant patient who is substance dependent. Which diagnosis should the nurse identify as applicable to this patient's needs?
 
  A) Impaired home maintenance related to a sensory challenge
  B) Risk for disruption of social interaction related to unclear speech
  C) Risk for injury to self and fetus related to chronic substance dependency
  D) Readiness for enhanced family coping, related to commitment to have a child in the face of a disabling condition

[ApricotDream]

Answer to Question 1

B
Feedback:
Mongolian spots are blue or purple splotches that appear on the lower back and buttocks of newborns. Milia are unopened sebaceous glands frequently found on a newborn's nose. Stork bites are superficial vascular areas found on the nape of the neck and eyelids and between the eyes and upper lip. Birth trauma would be manifested by bruising, swelling, and possible deformity.

Answer to Question 2

C
Feedback:
Illicit drugs can pass through the placenta and affect the developing fetus. The patient is also being harmed by the drugs. The most appropriate diagnosis for the patient would be risk for injury to self and fetus related to chronic substance dependency. Impaired home maintenance, risk for disruption of social interaction, and readiness for enhanced family coping would be appropriate for the pregnant patient who is physically or cognitively challenged.

[imanialler]

Correct answers!

[ApricotDream]

Great! Please up vote