Chapter 08: Wong’s Essentials of Pediatric Nursing, 10th Edition

1. Which is defined as a vaguely outlined area of edematous tissue situated over the portion of
the scalp that presents in a vertex delivery?
a. Caput succedaneum
b. Hydrocephalus
c. Cephalhematoma
d. Subdural hematoma

2. Which finding on a newborn assessment should the nurse recognize as suggestive of a clavicle
fracture?
a. Negative scarf sign
b. Asymmetric Moro reflex
c. Swelling of fingers on affected side
d. Paralysis of affected extremity and muscles

3. The parents of a newborn ask the nurse what caused the baby’s facial nerve paralysis. What
knowledge should the nurse’s response be based on?
a. Genetic defect
b. Birth injury
c. Spinal cord injury
d. Inborn error of metabolism

4. A mother is upset because her newborn has erythema toxicum neonatorum. What information
should the nurse base the response to the mother?
a. Easily treated
b. Benign and transient
c. Usually not contagious
d. Usually not disfiguring

6. What does nursing care of the newborn with oral candidiasis (thrush) include?
a. Avoiding use of pacifier
b. Removing characteristic white patches with a soft cloth
c. Continuing medication for a prescribed number of days
d. Applying medication to oral mucosa, being careful that none is ingested

7. Which is a bright red, rubbery nodule with a rough surface and a well-defined margin that
may be present at birth?
a. Port-wine stain
b. Juvenile melanoma
c. Cavernous hemangioma
d. Strawberry hemangioma

8. The parents of a newborn with a strawberry hemangioma ask the nurse what the treatment will
be. What information does the nurse need to include in the response?
a. Excision of the lesion will be necessary.
b. Injections of prednisone into the lesion will reduce it.
c. No treatment is usually necessary because of the high rate of spontaneous
involution.
d. Pulsed dye laser treatments will be necessary immediately to prevent permanent
disability.