Screenshot_20231116-234324

19. A perinatal nurse assesses the skin condition of a newborn, which is characterized by a yellow coloration of the skin, sclera, and oral mucous membranes. What condition is most likely the cause of this symptom? a. Hypoglycemia b. Physiologic anemia of infancy c. Low glomerular filtration rate d. Jaundice ANS: d Feedback a. Signs and symptoms of hypoglycemia include jitteriness, diaphoresis, poor muscle tone, poor sucking reflex, temperature instability, respiratory distress,tachycardia, dyspnea, apnea, high-pitched cry, irritability, lethargy, and seizures or coma. b. A low red blood cell (RBC) count signals physiologic anemia of infancy. c. The neonate’s elevated hematocerit (related to the high concentration ofRBCs) and low blood pressure may lead to a decreased glomerular filtration rate. d. Jaundice is a condition characterized by a yellow (icteric) coloration of the skin, sclera, and oral mucous membranes and results from the accumulation ofbile pigments associated with an excessive amount of bilirubin in the blood. 20. Thenurseis assessing the neonate’s skin and notes the presence of small.irregular, red patches on the cheeks that will develop into single, yellow pimples on the chest or abdomen. The name for this common neonatal skin condition is: a. Milia b. Neonatal acne c. Erythema toxicum d. Pustular melanosis ANS: ¢ Feedback a. Milia presents as small, white papules or sebaceous cysts on the infant’sface that resemble pimples. Maternal-Newbom Nursing: The Critical Components Of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman b. Acne, a skin condition common in adolescents, may also be present in newboms and is related to excessive amounts of maternal hormones. Over time, neonatal acne disappears spontaneously from the infant’s cheeks andchest. c. Erythema toxicum is a newborn rash that consists of small, irregular, flat, redpatches on the checks that develop into singular, small, yellow pimples appearing on the chest, abdomen, and extremities. d. Pustular melanosis is a condition in which small pustules are formed prior to birth. As the pustule disintegrates, a small residue or —scalel in the shape of the pustule is formed, and this lesion later develops into a small (1 to 2 millimeter) macule, or flat spot. Macules, which are brown in color, appear similar to freckles and are frequently located on the chest and extremities. Pustular melanosis occurs more commonly on African American infants than onCaucasian infants. 21. Thenurse completes an initial newborn examination on a baby boy at 90 minutes of age. The baby was born at 40 weeks’ gestation with no birth trauma. The nurse’s findings include the following parameters: heart rate, 136beats per minute; respiratory rate, 64 breaths per minute; temperature, 98.2°F(36.8°C); length, 49.5 cm; and weight, 3500 g. The nurse documents the presence of a heart murmur, absence of bowel sounds, symmetry of ears and eyes, no grunting or nasal flaring, and full range of movement of all extremities. Which assessment would warrant further investigation and require immediate consultation with the baby’s health-care provider? a. Respiratory rate @ O 2