You have done some predischarge teaching with a new mother about the care of her infant. This teaching included instruction about findings in observing her infant she would need to report to the pediatrician that may indicate jaundice. Four days after discharge from the hospital, the mother calls the pediatrician to report something she has observed and about which she is concerned. You would evaluate that the mother best understood your teaching if she reported which of the following to the pediatrician.
A. Skin color changes when placed in side-lying position
B. Yellowing of skin and mucous membranes
C. Irregular pink or red patches on the back of the neck
D. Purplish areas on the buttocks and sacral area

Explanation: Yellowing the skin and mucous membranes in an infant who is three to four days old is temporary but may require treatment with fluids and photo therapy. Harmless skin markings requiring no intervention include grey, blue or purple spots on the buttocks or sacral area. Vascular markings are also called stork bites, on the neck and transient color changes when side lying.