The nurse is observing a couple interacting with their 2-day-old child. Which of the mother's statements suggests a potentially abnormal finding in the newborn?
1. "She looks like she's a little bit cross-eyed."
2. "There is some white-colored drainage coming from her vagina."
3. "Her belly looks so round."
4. "She has some small white specks on the roof of her mouth."
Correct Answer: 3
Rationale 1: Transient strabismus (pseudostrabismus) or squinting caused by poor neuromuscular control of eye muscles that gradually regresses in 3 to 4 months may be seen in the newborn.
Rationale 2: A vaginal discharge composed of thick whitish mucus may be present during the first week of life.
Rationale 3: Abdominal distention is the first sign of many gastrointestinal abnormalities.
Rationale 4: On the hard palate and gum margins, Epstein's pearls, small glistening white specks (keratin-containing cysts) that feel hard to the touch, are often present. They usually disappear in a few weeks and are of no significance.
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