Author Question: Which is a bright red, rubbery nodule with a rough surface and a well-defined margin that may be ... (Read 58 times)

stock · **on:** Jun 28, 2018

Which is a bright red, rubbery nodule with a rough surface and a well-defined margin that may be present at birth?

a. Port-wine stain
b. Juvenile melanoma
c. Cavernous hemangioma
d. Strawberry hemangioma

Question 2

Nursing care of the newborn with oral candidiasis (thrush) includes:

a. avoiding use of pacifier.
b. removing characteristic white patches with a soft cloth.
c. continuing medication for a prescribed number of days.
d. applying medication to oral mucosa, being careful that none is ingested.

Leostella20 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
Strawberry hemangiomas or capillary hemangiomas are benign cutaneous tumors that involve capillaries only. They are bright red, rubbery nodules with rough surfaces and well-defined margin. They may or may not be apparent at birth but enlarge during the first year of life and tend to resolve spontaneously by age 2 to 3 years. Port-wine stain is a vascular stain that is a permanent lesion and is present at birth. Initially it is a pink, red, or, rarely, purple stain of the skin that is flat at birth and thickens, darkens, and proportionately enlarges as the child grows. Melanoma is not differentiated into juvenile and adult forms. A cavernous hemangioma involves deeper vessels in the dermis and has a bluish red color and poorly defined margins.

Answer to Question 2

ANS: C
The medication must be continued for the prescribed number of days. To prevent relapse, therapy should continue for at least 2 days after the lesions disappear. Pacifiers can be used. The pacifier should be replaced with a new one or boiled for 20 minutes once daily. One of the characteristics of thrush is that the white patches cannot be removed. The medication is applied to the oral mucosa and then swallowed to treat Candida organisms in the gastrointestinal tract.