Which interventions should the nurse implement for a newborn with a subgaleal hemorrhage? (Select all that apply.)
a. Monitor bilirubin levels.
b. Monitor hematocrit levels.
c. Prepare the newborn for skull radiography.
d. Monitor the newborn's level of consciousness.
e. Place a warm compress on the affected area.
ANS: A, B, D
An increase in serum bilirubin levels may occur as a result of the degrading red blood cells within the hematoma. Monitoring the newborn for changes in level of consciousness and a decrease in the hematocrit are keys to early recognition and management. Computed tomography or magnetic resonance imaging, not skull radiography, is useful in confirming the diagnosis. A warm compress would be contraindicated because it may dilate blood vessels and increase bleeding.
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