The nurse is performing an assessment on a newborn and notes a thin, milky discharge from the infant's nipple. The nurse knows this is a:

1. congenital anomaly.
2. highly irregular finding.
3. reason to call in a specialist.
4. common finding in newborns.


4
Rationale 1: The breast tissue of newborns is sometimes swollen because of hyperestrogenism of pregnancy, and some infants may produce a thin discharge called "witch's milk," which subsides as the infant's body eliminates maternal hormones. This is not considered a congenital anomaly.
Rationale 2: The breast tissue of newborns is sometimes swollen because of hyperestrogenism of pregnancy, and some infants may produce a thin discharge called "witch's milk," which subsides as the infant's body eliminates maternal hormones; therefore, this is not considered an irregular finding.
Rationale 3: The breast tissue of newborns is sometimes swollen because of hyperestrogenism of pregnancy, and some infants may produce a thin discharge called "witch's milk," which subsides as the infant's body eliminates maternal hormones; therefore, there would be no reason to contact a specialist.
Rationale 4: The breast tissue of newborns is sometimes swollen because of hyperestrogenism of pregnancy, and some infants may produce a thin discharge called "witch's milk," which subsides as the infant's body eliminates maternal hormones; therefore, this assessment finding is common in newborns.

Nursing

You might also like to view...

He nurse is testing the function of CN XI. Which statement best describes the response the nurse should expect if this nerve is intact? The patient:

a. Demonstrates the ability to hear normal conversation. b. Sticks out the tongue midline without tremors or deviation. c. Follows an object with his or her eyes without nystagmus or strabismus. d. Moves the head and shoulders against resistance with equal strength.

Nursing

An 88-year-old man is suffering from long-term severe intractable pain; all pharmacologic and nonpharmacologic methods of pain relief have been ineffective. The nurse tells the patient that he may want to consider:

A) Investigating new alternative pain management options that are outside the United States B) Consulting a neurologist or neurosurgeon to discuss pain management options C) Significantly increasing his exercise and activities to create distractions D) Moving into a nursing home, so others may care for him

Nursing

Which of the following are risk factors for testicular cancer? Select all that apply

a. Family history b. HIV infection c. African American men d. History of cryptorchidism e. Carcinoma in situ of testicles f. Most common in men between the ages of 20 and 54

Nursing

An infant has surgery to relieve pyloric stenosis. Which of the following nursing diagnoses would apply in the immediate postoperative period?

A) Excess fluid volume related to increased fluid intake prescribed postoperatively B) Risk for infection of incision line, related to disruption of skin barrier during surgery C) Ineffective tissue perfusion related to pressure on heart chambers D) Anxiety related to new feeding method used postoperatively

Nursing