When assessing the physical condition of a 2-day-old infant, the nurse notices a relatively soft swelling on one side of the skull extending up to the midline. Which of the following does this condition indicate?

A) Fontanels
B) Caput succedaneum
C) Cephalhematoma
D) Molding


C
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Cephalhematoma is an accumulation of blood between the bones of the skull and the periosteum, the membrane that covers the skull. This swelling stops at the midline and will eventually disappear. Fontanels are the "soft spots" in the newborn's skull, formed at the junction of the individual skull bones. These bones do not fuse completely before birth, so that the head can mold to fit through the mother's birth canal. Caput succedaneum results from an accumulation of fluid within the newborn's scalp. It is caused by pressure to the head during delivery. The swelling crosses the midline of the baby's scalp. Molding or elongation of the head may develop temporarily because of the overlap of skull bones during the birth process.

Nursing

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