If the nurse notes a soft swollen area on the newborn infant's ...

[nramada]

If the nurse notes a soft swollen area on the newborn infant's scalp that extends over the suture lines, she should:
 
  A. apply an ice pack and reassess every hour.
  B. document caput succedaneum; no action is necessary.
  C. notify the health care provider that the infant may have a cephalhematoma.
  D. explain to the mother that the skull has been molded to pass through the birth canal.

Question 2

Which interventions should the nurse include in the home care instructions for the parents of a child who has a cast applied to the left forearm? Select all that apply.
 
  a. Keep small toys away from the cast.
  b. Use a padded ruler to scratch the skin under the cast if it itches.
  c. Daily assess the cast for unusual odors.
  d. Elevate the extremity on pillows for the first 24 to 48 hours.
  e. Numbness and tingling in the extremity is expected.

[choc0chan]

Answer to Question 1

B
Caput succedaneum is a localized swelling of soft tissue of the scalp caused by pressure on the head during labor. It resolves with no special treatment. A cephalhematoma, a collection of blood between the periosteum and a bone of the skull, does not cross suture lines.

Answer to Question 2

A, C, D
Feedback
Correct Small toys should be kept away from the cast because they can become
lodged inside the cast. The cast should be inspected daily for any unusual
odors, which can indicate infection. The extremity should be elevated for
the first 24 to 48 hours to decrease edema.
Incorrect Nothing should be placed inside the cast. If numbness or tingling is
experienced, the physician should be notified.