NU 645 exam 1 Study Guide with
Complete Solutions
2-3 day visit assessments - Answer-Jaundice, feeding methods/patterns, weight, review
status of screenings
Expected weight at 2-3 day visit - Answer-Expect 5-8% weight loss from birth weight - can
be up to 10%.
Date that it is expected for bab...
Mongolian Spots - Answer✔✔-Blue/black spots; congenital with indefinite borders; buttocks
and base of spine; predominantly in those with dark skin- fade with time (2-3yrs), usually no
traces by adulthood; documentation of location important as they look like bruises
Cafe au lait spots - Answer✔✔-Flat areas of brown/tan pigment >5mm. If more than 6 spots
over 5mm in diameter or if axillary freckling, rule out neuroblastoma, neurofibromatosis, or von
Recklinghausen's disease. Can increase in number with age.
Nevus simplex - Answer✔✔-"stork bite, salmon patch, angel kisses", pink red capillary on face
or neck; darken when baby is upset or active; very common; no tx needed, resolve in toddler
years
Nevus flammus - Answer✔✔-Red birthmark/ port wine stain; extra capillaries that are
flat/pink/red; blanchable, unilateral and large, usually on face, occipital, neck, and can grow as
the child grows; if located on upper/lower eyelid, can affect trigeminal nerve so refer to r/o
glaucoma & Sturge Weber syndrome; do not go away, can be removed with laser therapy
Hemangioma - Answer✔✔-Superficial or deep cavernous. "Strawberry" superficial hemangioma
are majority- will start diminishing after the first year of life; if growth causes problems, can
consider tx w/beta blocker
Suckling blisters - Answer✔✔-On upper lip or fingers the baby may be sucking. No treatment
required.
Skin dimpling - Answer✔✔-Deep skin dimples or pits over bony prominences or in sacral area-
can be normal but also can be indicative of dysmorphologic syndromes.
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