A new mother is concerned about a mass on the newborn's head. The nurse assesses this to be a cephalhematoma. Which of the following characteristics would indicate a cephalhematoma? 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 only on one side of the head.
5. The mass overrides the suture line.
Correct


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, and does not increase in size when the newborn cries. Cephalhematomas can be unilateral or bilateral but do not cross the suture lines. Molding causes the head to appear asymmetrical; this is due to the overriding of cranial bones during labor and birth.
2. 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, and does not increase in size when the newborn cries. Cephalhematomas can be unilateral or bilateral but do not cross the suture lines. Molding causes the head to appear asymmetrical; this is due to the overriding of cranial bones during labor and birth.
3. 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, and does not increase in size when the newborn cries. Cephalhematomas can be unilateral or bilateral but do not cross the suture lines. Molding causes the head to appear asymmetrical; this is due to the overriding of cranial bones during labor and birth.
4. 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, and does not increase in size when the newborn cries. Cephalhematomas can be unilateral or bilateral but do not cross the suture lines. Molding causes the head to appear asymmetrical; this is due to the overriding of cranial bones during labor and birth.

Nursing

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