What is true about cephalohematoma in a neonate?

Cephalohematoma is a localized collection of blood between the periosteum and the skull bone in neonates, typically resulting from birth trauma. The statement that overlying scalp may not show discoloration is accurate because, in cases of cephalohematoma, the blood accumulates beneath the periosteum, and the overlying skin may appear normal or show minimal discoloration, unlike other types of head injuries such as caput succedaneum where swelling and discoloration are visible over the scalp.

Understanding the characteristics of cephalohematoma helps differentiate it from other head presentations in newborns, which is crucial for proper diagnosis and management. The fine differentiation in presentation can impact monitoring and parental education about what to expect regarding the baby's condition following delivery.