أثناء الفحص لاحظت الممرضة هذه البقع المسطحة الرمادية المزرقة على أسفل ظهر مولود عمره يومين. ما التصرف الصحيح؟

During assessment the nurse notes these flat blue-gray patches on a 2-day-old’s lower back. What is the correct action?

1. Order urgent coagulation tests
2. Apply cold compresses to the area
3. Report possible abuse to authorities
4. Document site and size and reassure parents

Answer: D) Document site and size and reassure parents. These are congenital dermal melanocytosis (“Mongolian spots”), common in darker skin and usually fade in early childhood. Documenting them prevents later confusion with bruises.