A normal newborn is admited to the nursery and receives an injection of Phytonadione. The father is watching the nurse administer the injection and asks the practical nurse (PN), "Will my baby get another injection before we can go home?"
Which response is best for the PN to provide?
This is the only required injection your baby has to receive while in the newborn nursery.
Blood specimens will be collected to test for glucose levels and if low, glucose injection is given.
If your newborn gets sick or has a complication, injectable therapy may be prescribed and given.
An immunization may be administered for hepatitis B, and a consent form must be signed.
The Correct Answer is D
The best response for the PN to provide is that **an immunization may be administered for hepatitis B, and a consent form must be signed**. Phytonadione is a form of vitamin K that is given to newborns to prevent vitamin K deficiency bleeding (VKDB)¹. Vitamin K should be administered to all newborn infants weighing>1500 g as a single, intramuscular dose of 1 mg within 6 hours of birth¹. However, this is not the only injection your baby may receive while in the newborn nursery. An immunization for hepatitis B may also be administered before you can go home⁴.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Acute glomerulonephritis is a type of kidney disease that can develop after an infection such as strep throat. A sore throat is a common symptom of strep throat and could have been the sign that motivated the parents to seek medical care for their child.
Hematuria (A) is the presence of blood in the urine and can be a symptom of acute glomerulonephritis, but it is not the most likely sign that originally motivated the parents to seek medical care. Weight loss (B) and polydipsia (C), which is excessive thirst, are not typically associated with acute glomerulonephritis or strep throat.
Correct Answer is D
Explanation
The practical nurse (PN) should first massage the fundus and expel retained lochia and clots to help the uterus contract and prevent postpartum hemorrhage.
Taking the vital signs and opening the IV infusion rate of oxytocin (A) may be necessary but not as urgent as massaging the fundus.
Notifying the registered nurse (RN) that the client's bladder is distended (B) is not relevant to addressing the client's boggy and displaced fundus.
Putting the infant to breast to suckle and stimulate oxytocin secretion (C) is a valid intervention, but it is not the first priority when the client's fundus becomes boggy and displaced above the umbilicus.
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