The parents of a 2-day-old girl are concerned because her feet and hands are slightly blue. How should the nurse respond?
A) "Your daughter has acrocyanosis; this is causing her blue hands and feet."
B) "Let's watch her carefully to make sure she does not have a circulatory problem."
C) "This is normal; her circulatory system will take a few days to adjust."
D) "This is a vasomotor response caused by cooling or warming."
Ans: C
The nurse should tell the parents that this is normal and that the baby's circulatory system is adjusting to extrauterine life. Using the technical term "acrocyanosis" would most likely scare the parents. Telling the parents that the child may have a circulatory problem is inaccurate as this is a normal variation. Acrocyanosis and the mottling caused by cooling and warming are two different variations.
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