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Practice Question

A nurse is assessing a child and notices a flat, blue-grey pigmented macule on the back. Which condition can be associated with the image below?

Answer Choices:

Correct Answer:

Congenital dermal melanocytosi

Rationale:

🔵The image shows blue-grey pigmented patches on the infant’s lower back, which are characteristic of congenital dermal melanocytosis (previously known as Mongolian spots).

🧬These macules result from melanocytes trapped in the dermis during fetal development and are benign.

📋They are most common in infants of African, Asian, or Native American descent and typically fade over time.

🩺They must be documented at birth to prevent misinterpretation as bruises from abuse.

📌Core Message

Congenital dermal melanocytosis is a harmless, blue-grey macule seen in many newborns, often mistaken for trauma but requiring only documentation.

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This question is from NCLEX-RN Practice Exam 3 which contains 100 questions.

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NCLEX-RN Practice Exam 3

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Question Details
  • Category: NCLEX RN
  • Subcategory: NCLEX-RN-Practice Exams
  • Domain: NCLEX RN (Practice Exams)
  • Answer Choices: 4
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