The mother of an African American newborn asks the nurse about the bluish-black areas she noticed around the infant's lower back and buttocks. What is the nurse's best response?
A) "These areas are normal and should disappear by early childhood."
B) "It will be best if you have these areas treated with laser surgery."
C) "These spots will normally fade in about 2 weeks."
D) "This discoloration occurs in some infants and is usually permanent."
Ans: A
Feedback:
These types of discolored areas are referred to as mongolian spots. The discolorations are clusters of melanocytes and appear as bluish-black areas typically found on an African-American infant's lower back and buttocks, as well as Indian and Asian infants. They are normal, occur in 80% to 90% of these populations, and typically disappear by early childhood.
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