The nursery nurse notes the presence of diffuse edema on a newborn baby's head. Review of the birth record indicates that her mother experienced a prolonged labor and difficult childbirth
What action by the nurse is best?
A.
Document the findings in the infant's chart.
B.
Measure head circumference every 12 hours.
C.
Prepare to administer IV osmotic diuretics.
D.
Transfer the baby to the NICU for monitoring .
ANS: A
Caput succedaneum is diffuse edema that crosses the cranial suture lines and disappears without treatment during the first few days of life. It often is the result of a traumatic or difficult birth. The nurse should document the findings. No other action is needed.
You might also like to view...
Studies of workers' compensation claims show that the profession that has the highest claim rates of any occupation or industry is:
a. firefighters. b. truck drivers. c. law enforcement. d. nursing personnel.
The nurse is applying an aquathermia pad to a client complaining of arthritic pain in the right knee. Which filler is appropriate for this unit?
1. Sterile water 2. Normal saline 3. Tap water 4. Distilled water
An elderly client complains to the nurse that he experiences constipation. The nurse should suggest that he consume extra:
A) milk products. B) eggs. C) carrots. D) tomatoes.
Boards of nursing have number of disciplinary choices which may include:
a. imposing a fine b. placing restrictions on a license c. revoking a license d. all of the above e. B and C only