A mother asks why the newborn's white, creamy coating was not completely scrubbed off after birth. Which explanation is correct?

Correct answer: A. It is vernix caseosa and helps protect the skin

  • A. It is vernix caseosa and helps protect the skin
  • B. It is dried blood and indicates birth trauma
  • C. It is a sign of neonatal fungal infection
  • D. It is excess milk that should be removed immediately

Explanation

Vernix caseosa is a normal protective coating that helps reduce skin moisture loss and supports the skin barrier. Vigorous removal can irritate delicate newborn skin, so gentle wiping is appropriate.

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Newborn care covers immediate assessment, Apgar scoring, thermal protection, airway management, cord care, identification, vitamin K, early breastfeeding and neonatal resuscitation. It also includes normal newborn findings, prevention of infection, care of premature or low-birth-weight infants, recognition of danger signs, jaundice and safe discharge counselling.

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