COMPLETE QUESTIONS AND ANSWERS
◉ ___________ indicates hypoxemia and occurs with shock, cardiac
arrest, heart failure, chronic bronchitis, and congenital heart disease.
Answer: cyanosis
◉ What is jaundice? Answer: a yellowish skin color that indicates
rising amounts of bilirubin in the blood
◉ Where is jaundice first noted? Answer: in the junction of the hard
and soft palate in the mouth and in the sclera
◉ ___________ occurs with hepatitis, cirrhosis, sickle-cell, transfusion
reaction, and hemolytic disease of the newborn. Answer: Jaundice
◉ What is diaphoresis? Answer: profuse perspiration
◉ Look for ______________ in the oral mucous membranes. Answer:
dehydration
◉ How is skin texture with hyperthyroidism? hypothyroidism?
Answer: hyper: smoother and softer; like velvet
,hypo: rough, dry, and flaky
◉ What is anasarca? Answer: edema that is generalized over the
whole body
◉ What is the difference in mobility and turgor? Answer: mobility:
ease of skin to rise
turgor: ability to return to place
◉ What is scleroderma? Answer: "hard skin" a chronic connective
tissue disorder associated with decreased mobility
◉ What are cherry/senile angiomas? Answer: small, slightly raised
bright red dots that commonly appear on the trunk in all adults
older than 30; increase with aging and not significant
◉ What should you note on lesions? Answer: -color
-elevation
-pattern or shape
-size
-location and distribution
-any exudate
,◉ Explain primary and secondary lesions. Answer: primary:
develops on previously unaltered skin
secondary: when a lesion changes over time or because of scratching
or infection
◉ What does absent or sparse genital hair suggest? Answer:
endocrine abnormalities
◉ Describe the normal nail appearance. Answer: -slightly curved or
flat
-nail folds are smooth and rounded
-edges are smooth, rounded, and clean
-160° angle of the nail base
-translucent
◉ What is the Mongolian spot? Answer: a common variation of
hyperpigmentation in Africa-American, Asian, American Indian, and
Latino newborns
blue-black-to-purple macular area at the sacrum or buttocks
(sometimes on abdomen, thighs, shoulders, or arms
◉ What is the cafe au lait spot? Answer: a large round or oval patch
of light brown pigmentation which is usually present at birth
, ◉ What is the harlequin color change? Answer: occurs when the
baby is in a side-lying position; lower half of the body turns red and
the upper half blanches with a distinct demarcation
◉ What is erythema toxicum? Answer: a common rash that appears
in the first 3 to 4 days of life (flea bite rash or newborn rash) that
consists of tiny punctate red macules and papules on the cheeks,
trunk, chest, back, and buttocks
◉ What is acrocyanosis? Answer: a temporary cyanotic condition
that occurs in infants where there is a bluish color around the lips,
hands, fingernails, feet, and toenails
◉ What is cutis marmorata? Answer: a temporary cyanotic
condition that occurs in infants where there is a transient mottling
in the trunk and extremities in response to cooler room
temperatures; forms a reticulated red or blue pattern over the skin
◉ Explain physiological jaundice. Answer: -a normal variation in
about half of all newborns
-yellowing of the skin, sclera, and mucous membranes that develops
after the 3rd or 4th day of life because of increased numbers of rbc's
that hemolyze after birth