A newborn has a reddish papular rash across his face. Which statement best describes this rash to the client?

• A. Don't worry about it. This rash will go away in a couple of days.
• B. I see you are concerned, so I will call your pediatrician.
• C. Good question. Let me take the infant's vital signs and examine him
• D. A newborn rash is very common, but it will disappear soon.

Answer: (D)

Newborn skin changes are common and usually harmless as the baby adjusts to life outside the womb. A reddish papular rash on the face is a familiar finding in many newborns and, in most cases, will go away on its own without any treatment. The best way to describe it to the family is that it’s very common and temporary. No special therapy is typically needed beyond gentle cleansing and keeping the skin clean and dry. Reassure them to watch for any signs that would require medical attention—fever,poor feeding, lethargy, spreading redness, swelling, or a rash that lasts longer than a couple of weeks—at which point they should contact their pediatrician.