A postpartum patient calls the clinic to report that her 3-day-old baby girl has a spot of blood on her diaper. The nurse explains to the mother that this is due to:
1. Withdrawal of maternal hormones.
2. A urinary infection.
3. An immature immune system.
4. Physiologic jaundice.
1
Rationale 1: As maternal hormones clear the newborn, it is not unusual to find blood on the diapers of a female newborn. This is referred to as pseudomenstruation.
Rationale 2: A urinary infection does not cause pseudomenstruation.
Rationale 3: An immature immune system does not cause pseudomenstruation.
Rationale 4: This is not characteristic of physiologic jaundice.
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