As a result of pressure against the fetal skull during labor, a ...

[tsand2]

As a result of pressure against the fetal skull during labor, a raised area caused by an effusion of blood between the skull bone and the periosteum may occur. The raised area is called
 
  a. caput succedaneum c. cephalohematoma
  b. hemangioma d. bulging fontanel

Question 2

A parent asks the nurse if there is anything that can be done to reduce the pain that his 3-year-old experiences each morning when blood is drawn for lab studies.
 
  The most appropriate method the nurse can suggest to relieve pain associated with the venipuncture is: 1. Intravenous sedation 15 minutes prior to the procedure.
  2. EMLA cream applied to skin at least 1 hour prior to the procedure.
  3. Use of guided imagery during the procedure.
  4. Use of muscle-relaxation techniques.

[nhea]

Answer to Question 1

C
A raised area caused by an effusion of blood between the skull bone and the periosteum is known as a cephalohematoma. Caput succedaneum is the result of edema. A hemangioma is a vessel disorder and bulging a fontanel is due to increased intracranial pressure.

Answer to Question 2

2
Rationale:
1. Sedation generally is not used with quick, minor procedures such as venipuncture.
2. EMLA cream is shown to be effective in providing topical anesthesia if applied at least 1 hour prior to the procedure.
3. A 3-year-old is too young to participate in techniques such as guided imagery.
4. A 3-year-old is too young to participate in techniques such as muscle relaxation.