The nurse notices that a 6-month-old infant born to Latino caregivers has deep-blue, almost black coloration over the lumbar and sacral areas of the spine and the buttocks. The nurse's first guess in looking for causes would be:
a. child abuse c. lack of bathing
b. ritual painting d. Mongolian spots
D
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A Incorrect. Observing deep-blue, almost black coloration over the lumbar and sacral areas of the spine and the buttocks of a Latino infant, the nurse should not assume child abuse.
B Incorrect. Observing deep-blue, almost black coloration over the lumbar and sacral areas of the spine and the buttocks of a Latino infant, the nurse should not assume ritual painting.
C Incorrect. Observing deep-blue, almost black coloration over the lumbar and sacral areas of the spine and the buttocks of a Latino infant, the nurse should not assume lack of bathing.
D Correct. Mongolian spots, a deep-blue pigmentation over the lumbar and sacral areas of the spine, buttocks, upper back or shoulders in newborns of African, Latino, or Asian descent, are extremely common and not to be confused with ecchymosis or signs of child abuse.
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