The nurse notices that a 6-month-old infant born to Latino caregivers has deep-blue, almost black coloration over the lumbar and sacral areas of the spine and the buttocks. The nurse's first guess in looking for causes would be:

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Mongolian spots are a common type of birthmark seen in babies, particularly those of Asian, Native American, Hispanic, East Indian, and African descent. They are benign, flat, congenital birthmarks with wavy borders and irregular shapes, often found on the lower back and buttocks. They typically fade during the first few years of life.

The Nurse Notices That a 6-Month-Old Infant Born to Latino