Where would nonpathologic cyanosis normally be present in the ...

[washai]

Where would nonpathologic cyanosis normally be present in the newborn shortly after birth?
 
  a. Feet and hands
  b. Bridge of nose
  c. Circumoral area
  d. Mucous membranes

Question 2

The nurse observes that a new mother avoids making eye contact with her newborn. The nurse should perform which action?
 
  a. Examine newborn's eyes for ability to focus.
  b. Assess for other attachment behaviors.
  c. Recognize this as a common reaction in new mothers.
  d. Ask mother why she won't look at newborn.

[blfontai]

Answer to Question 1

ANS: A
Cyanosis of the feet and hands is termed acrocyanosis and is a usual finding in newborns. Cyanosis present at the bridge of the nose, the circumoral area, and the mucous membranes is a potential sign of distress or major abnormality.

Answer to Question 2

ANS: B
Attachment behaviors are thought to indicate the formation of emotional bonds between the newborn and the mother. The mother's failure to make eye contact with her newborn may indicate difficulties with the formation of emotional bonds. The nurse should perform a more thorough assessment. Newborns do not have binocularity and cannot focus. It is uncommon for a mother to avoid making eye contact with her newborn and it is confrontational to ask why; this would put the mother in a defensive position.

[washai]

Excellent

[jomama]

TYSM