Difficulty: Medium
Average Score: 77%
Simulated
An Asian family arrives with their newborn for a well visit. When assessing the infant, the nurse observes the following skin irregularity. What is the nurse's priority action?
Correct answer
B
Rationale
Recording the finding documents the Mongolian spot, a benign pigmentation common in infants of Asian descent, preventing future misdiagnosis (Choice B). Notifying child protective services is unnecessary, as the spot is not abuse-related (Choice A). Notifying the healthcare provider is not urgent, as the spot is benign (Choice C). Interviewing about an injury is inappropriate, as the spot is not an injury, and may imply suspicion, harming trust (Choice D).