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A nurse is caring for an infant who has a cephalohematoma on the left side of his skull.
Which of the following interventions should the nurse implement?
Monitor for signs of jaundice. A cephalohematoma is a collection of blood under the scalp that occurs due to trauma or pressure during delivery. It may increase the risk of jaundice in the newborn due to the breakdown of red blood cells and the release of bilirubin. Jaundice is a condition that causes yellowing of the skin and eyes due to high levels of bilirubin in the blood. Monitoring for signs of jaundice is important to prevent complications such as brain damage or kernicterus.
Apply pressure dressing over the area. This is wrong because applying pressure may increase the bleeding and cause more damage to the scalp and skull. A cephalohematoma does not require any treatment and usually resolves on its own within weeks or months.
Administer antibiotics as prescribed. This is wrong because antibiotics are not indicated for a cephalohematoma unless there is evidence of infection. Infection is a rare complication that may lead to osteomyelitis or meningitis. Antibiotics should be used only if prescribed by a doctor based on clinical signs and laboratory tests.
Elevate the head of the bed. This is wrong because elevating the head of the bed may not have any effect on a cephalohematoma. It may also cause discomfort or compromise the airway of the newborn. The position of the baby should be adjusted according to their comfort and safety.
Monitor for signs of jaundice. A cephalohematoma is a collection of blood under the scalp that occurs due to trauma or pressure during delivery. It may increase the risk of jaundice in the newborn due to the breakdown of red blood cells and the release of bilirubin. Jaundice is a condition that causes yellowing of the skin and eyes due to high levels of bilirubin in the blood. Monitoring for signs of jaundice is important to prevent complications such as brain damage or kernicterus.
Apply pressure dressing over the area. This is wrong because applying pressure may increase the bleeding and cause more damage to the scalp and skull. A cephalohematoma does not require any treatment and usually resolves on its own within weeks or months.
Administer antibiotics as prescribed. This is wrong because antibiotics are not indicated for a cephalohematoma unless there is evidence of infection. Infection is a rare complication that may lead to osteomyelitis or meningitis. Antibiotics should be used only if prescribed by a doctor based on clinical signs and laboratory tests.
Elevate the head of the bed. This is wrong because elevating the head of the bed may not have any effect on a cephalohematoma. It may also cause discomfort or compromise the airway of the newborn. The position of the baby should be adjusted according to their comfort and safety.