The nurse is assessing newborns in the nursery. Which assessment finding places a newborn at risk for developing physiologic jaundice?
1. Molding
2. Mongolian spots
3. Cephalohematoma
4. Telangiectatic nevi
3
Explanation:
1. Molding is caused by overriding of the cranial bones.
2. Mongolian spots are macular areas of bluish black pigmentation on the dorsal area of the buttocks.
3. A cephalohematoma 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 cephalohematoma begin to break down, which can lead to an increase in bilirubin levels in the blood.
4. Telangiectatic nevi are pale pink or red spots found on the eyelids, nose, lower occipital bone, or nape of the neck.
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