A wellbaby examination of a 3dayold infant born to a primigravida mother
reveals swelling on the right parietal area of the scalp that stops at the suture line. What action will the primary care pediatric nurse practitioner take based on this finding?

Question

A well­baby examination of a 3­day­old infant born to a primigravida mother
reveals swelling on the right parietal area of the scalp that stops at the suture line. What action will the primary care pediatric nurse practitioner take based on this finding?

Quizplus · Accepted Answer

The swelling on the right parietal area of the scalp is indicative of a cephalohematoma, which is a collection of blood beneath the scalp due to birth trauma. It typically stops at the suture line and resolves on its own over several weeks. However, it is important to observe the infant for hyperbilirubinemia, which can occur as a result of the breakdown of the blood in the cephalohematoma. If the bilirubin levels become elevated, the infant may require treatment to prevent complications such as kernicterus. The other options are not indicated or necessary based on the finding of a cephalohematoma.

A Well­baby Examination of a 3­day­old Infant Born to a Primigravida

A Wellbaby Examination of a 3dayold Infant Born to a Primigravida