A new mother is concerned about a mass on the newborn's head. The nurse assesses this to be a cephalhematoma based on which characteristics? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. The mass appeared on the second day after birth.
2. The mass appears larger when the newborn cries.
3. The head appears asymmetrical.
4. The mass appears on only one side of the head.
5. The mass overrides the suture line.
1,4
Rationale 1: A cephalhematoma is a collection of blood resulting from ruptured blood vessels between the surface of a cranial bone and the periosteal membrane. It can appear between the first and second day after birth.
Rationale 2: A cephalhematoma does not increase in size when the newborn cries.
Rationale 3: Molding causes the head to appear asymmetrical because of the overriding of cranial bones during labor and birth.
Rationale 4: Cephalhematomas can be unilateral or bilateral, but do not cross the suture lines.
Rationale 5: Cephalhematomas can be unilateral or bilateral, but do not cross the suture lines.
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