The nurse is assessing the skin of a newborn infant and notes a bright red, raised lesion on the lateral aspect of the thigh. The lesion is 4.5 centimeters in diameter. When light pressure is applied to the lesion, the site does not blanch
The mother expresses concern about the appearance of this site, and asks the nurse if it should be removed. Which of the following would be the best response for the nurse in this situation? 1. "Your pediatrician can make a surgical referral for you.".
2. "It really is not that noticeable.".
3. "You should be happy that your baby is healthy overall.".
4. "These types of lesions usually disappear by the time a child turns 10 years old.".
4
Rationale 1: There is no reason for the nurse to speak with the pediatrician regarding a surgical referral. These types of lesions usually disappear by the time a child turns 10 years old.
Rationale 2: The nurse should not indicate that the lesion is not that noticeable. The nurse should educate the mother about the lesion.
Rationale 3: The nurse should not state that the mother should be happy with the overall health of the newborn. The mother is concerned about the appearance of the lesion and should be educated about the lesion and its normal course.
Rationale 4: The lesion described is a hemangioma, which is a cluster of immature capillaries that can be found on any part of the body. These lesions usually disappear by age 10, and no intervention is needed.
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