The nurse is preparing new parents for discharge with their newborn. The father asks the nurse why the baby's head is so pointed and puffy-looking. The best response by the nurse is:
1. "His head is molded from fitting through the birth canal. It will become more round."
2. "We refer to that as ‘cone head,' which is a temporary condition that goes away."
3. "It might mean that your baby sustained brain damage during birth, and could have delays."
4. "I think he looks just like you. Your head is much the same shape as your baby's."
1
Rationale 1: This statement is accurate and directly answers the father's question.
Rationale 2: Although nursing staff might refer to a molded head as "cone head" and the shape is temporary, it is better to be more specific in explaining why the head is shaped as it is. In addition, this answer does not answer the "why" question posed by the father.
Rationale 3: A molded head shape does not indicate brain damage. Molding is normal and transient.
Rationale 4: Although this might be true, it is better to give a factual answer that does not imply that the father's head is abnormally shaped. This answer could be perceived as insulting.
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