The nurse assesses four newborns. Which of the following assessment findings would place a newborn at risk for developing physiologic jaundice?

1. Cephalhematoma
2. Mongolian spots
3. Telangiectatic nevi
4. Molding


1
Rationale 1: A cephalhematoma is a collection of blood resulting from ruptured blood vessels between the surface of a cranial bone and the periosteal membrane. The red blood cells present in the cephalhematoma begin to break down, which can lead to an increase in bilirubin levels in the blood.
Rationale 2: Mongolian spots are macular areas of bluish-black pigmentation on the dorsal area of the buttocks.
Rationale 3: Telangiectatic nevi are pale pink or red spots found on the eyelids, nose, lower occipital bone, or nape of the neck.
Rationale 4: Molding is caused by overriding of the cranial bones.

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