Ati nur209 pediatrics final assessment proctored exam 2025
When preforming an initial assessment on a full-term infant whose parents are Asian, the nurse notes a blue-gray discoloration across the sacrum of the newborn. What is the most appropriate action for the nurse to take?
Explanation & Rationale
A. Clotting studies are unnecessary as Mongolian spots are not related to a bleeding disorder. B. Mongolian spots are a normal finding in newborns with increased melanin deposition in the skin. The nurse should document the finding to differentiate it from potential bruising in future assessments. C. Reporting parents to Child Protective Services is inappropriate because Mongolian spots are congenital, not signs of abuse. D. Notifying the healthcare provider is unnecessary as Mongolian spots are a normal variation, not a medical concern.
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