During a routine newborn examination, which finding requires prompt further assessment?
Correct answer: C. An absent red reflex in one eye
- A. A soft, flat anterior fontanelle
- B. A transient bluish colour of the hands and feet
- C. An absent red reflex in one eye
- D. Mild peeling of the skin on the hands
Explanation
An absent or unequal red reflex may indicate an eye disorder such as congenital cataract and requires prompt assessment and referral. Peripheral cyanosis and mild skin peeling can be normal transitional findings when the newborn is otherwise well.
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About Neonatal Nursing
Neonatal nursing covers the newborn’s transition to extrauterine life, Apgar assessment, thermoregulation, breastfeeding, cord care, routine examination and prevention of infection. It also includes care of premature or low-birth-weight infants, neonatal jaundice, hypoglycaemia, respiratory problems and danger signs requiring urgent referral.
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