Author Question: A new mother tells the nurse that her baby must be cold because his hands and feet are blue. The ... (Read 82 times)

jCorn1234 · **on:** Jun 28, 2018

A new mother tells the nurse that her baby must be cold because his hands and feet are blue. The nurse explains that this is a common and temporary condition known as:

a. Harlequin sign
b. Erythema toxicum
c. Cutis marmorata
d. Acrocyanosis

Question 2

The nurse recognizes that the best time to test hearing is when the infant is in which behavioral state of sleep?

a. Active sleep
b. Quiet sleep
c. Quiet alert
d. Drowsiness

mohan · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
Cyanosis of the hands and feet in the first week of life is caused by a combination of high hemoglobin and vasomotor instability. Parent education regarding this normal finding is helpful. Harlequin color change is a deep red color over a longitudinal half of the body, pallor on the other half, caused by an imbalance of autonomic vascular regulatory mechanism. Cutis marmorata is a red or blue lacelike pattern on the skin that is a normal vasomotor response to cold. Erythema toxicum is a normal, temporary splotchy erythema with firm, yellow-white papules.

Answer to Question 2

ANS: A
In the active sleep state, the infant responds easily to the sounds he or she hears. In the quiet sleep state, the infant is very difficult to wake. If the infant is already awake, it may be more difficult to identify movements and cues as responses to sounds from the hearing test.