The nurse notes the presence of a cephalohematoma on the head of a newborn. What did the nurse use to make this clinical determination? Select all that apply
1. The head appears asymmetric.
2. The mass overrides the suture line.
3. The mass appears only on one side of the head.
4. The mass appeared on the second day after birth.
5. The mass appears larger when the newborn cries.
3, 4
Explanation:
1. Molding causes the head to appear asymmetric; this is due to the overriding of cranial bones during labor and birth.
2. Cephalohematomas do not cross the suture lines.
3. Cephalohematomas can be unilateral or bilateral.
4. A cephalohematoma can appear between the first and second day after birth.
5. A cephalohematoma does not increase in size when the newborn cries.
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