A nurse is assessing a newborn who has late-onset VKDB due to exclusive breastfeeding and inadequate oral vitamin K supplementation.

Which of the following findings should indicate a possible intracranial hemorrhage to the nurse?

A nurse is assessing a newborn’s vital signs at 1 hour of age.

Which of the following findings should the nurse report to the provider?

A postpartum nurse instructs a new mother in how to bathe her newborn.

Which statement by the mother indicates a need for further instruction?

A nurse is performing an initial assessment of a newborn who was delivered vaginally at term with no complications.

Which of the following findings should alert the nurse to a potential problem?

A nurse is educating a new mother about umbilical cord care and how to prevent omphalitis, sepsis, and tetanus.

Which of the following statements by the mother indicates an understanding of the teaching?

A nurse is assessing a newborn who has hypoglycemia due to perinatal asphyxia.

Which of the following findings should the nurse expect? (Select all that apply.)

A nurse is assessing a newborn who has late-onset VKDB due to exclusive breastfeeding and inadequate oral vitamin K supplementation.

Which of the following findings should indicate a possible intracranial hemorrhage to the nurse?

A nurse is reviewing laboratory results for a newborn who received vitamin K injection at birth.

Which of the following coagulation factors should be activated by vitamin K?

The nurse is teaching parents how to care for their son’s circumcision site after discharge from hospital using petroleum jelly and gauze dressing method.

Which statement by parents indicates that they need further instruction?

A nurse is caring for a newborn who has early-onset VKDB due to maternal use of anticoagulants during pregnancy.

Which of the following interventions should the nurse anticipate for this newborn?

A nurse is caring for a client who has chronic hepatitis B infection and is taking lamivudine (Epivir).

The nurse should monitor the client for which of the following adverse effects?