Which observation during a newborn examination is a normal transitional finding?

Correct answer: A. Mild molding of the skull after vaginal birth

  • A. Mild molding of the skull after vaginal birth
  • B. A tense bulging fontanelle while the newborn is quiet
  • C. Persistent central cyanosis during normal breathing
  • D. Repeated projectile vomiting after every feed

Explanation

Mild molding occurs when the skull bones overlap during passage through the birth canal and usually resolves with time. A bulging fontanelle in a quiet infant, central cyanosis, and repeated projectile vomiting require further assessment. These findings may indicate serious neurological, respiratory, or gastrointestinal problems.

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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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