During neonatal care, how should a nurse handle yellow crusting on the infant's skin?

In neonatal care, it is often appropriate to leave yellow crusting on the infant's skin undisturbed, particularly when it is associated with natural processes such as the healing of minor abrasions, related to normal newborn skin changes, or conditions like seborrheic dermatitis. This approach helps to prevent irritation and trauma to the skin, allowing the natural healing processes to occur without disruption.

When crusting is left undisturbed, it can also minimize the risk of infection and avoid causing pain to the infant during cleaning attempts, which can be distressing. If the crusting were to be removed or treated without cause, there could be potential adverse effects such as inflammation or secondary infection. Keeping the area clean by changing diapers regularly and allowing any natural moisture to assist in the healing process is often sufficient for managing the condition.

In contrast, using antiseptic wipes or water could lead to irritation or discomfort, and applying topical ointments may not be necessary unless specific medical advice has been given based on the infant's condition. Thus, the choice to leave the crusting undisturbed aligns with gentle, supportive care practices for neonates.