A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications should the nurse expect to administer? (Select all that apply.).

Lidocaine gel to the umbilical stump.

Hepatitis B immunization.

Phytonadione injection.

Antibiotic ophthalmic ointment.

Haemophilus influenzae type b vaccine (Hib).

Answer and Explanation

Correct Answer : B,C,D

Choice A:

Lidocaine gel to the umbilical stump is not a medication that the nurse should expect to administer to a newborn immediately following birth. Lidocaine gel is a topical anesthetic that is used to numb the skin before procedures such as injections or sutures. It is not indicated for the umbilical stump, which does not require any anesthesia.

Choice B:

Hepatitis B immunization is a medication that the nurse should expect to administer to a newborn immediately following birth. Hepatitis B is a viral infection that can cause liver damage and cancer. The immunization protects the newborn from contracting the infection from the mother or other sources. The immunization is given as an intramuscular injection in the anterolateral thigh within 12 hours of birth.

Choice C:

Phytonadione injection is a medication that the nurse should expect to administer to a newborn immediately following birth. Phytonadione is also known as vitamin K, which is essential for blood clotting. Newborns have low levels of vitamin K at birth, which puts them at risk of bleeding disorders such as hemorrhagic disease of the newborn. The injection is given as a single dose of 0.5 to 1 mg in the vastus lateralis muscle within 1 hour of birth.

Choice D:

Antibiotic ophthalmic ointment is a medication that the nurse should expect to administer to a newborn immediately following birth. Antibiotic ophthalmic ointment prevents eye infections caused by bacteria such as gonorrhea or chlamydia, which can be transmitted from the mother during delivery. The ointment is applied to both eyes within 1 hour of birth.

Choice E:

Haemophilus influenzae type b vaccine (Hib) is not a medication that the nurse should expect to administer to a newborn immediately following birth. Hib is a bacterial infection that can cause meningitis, pneumonia, and other serious illnesses. The vaccine protects the newborn from Hib infection, but it is not given at birth. The vaccine is part of the routine immunization schedule and is usually given at 2, 4, and 6 months of age.

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Correct Answer is A

Explanation

Choice A reason:

This is a normal WBC for a newborn. According to MedlinePlus, the normal amount of white blood cells (WBCs) found in the bloodstream of a newborn infant is between 4,500 and 10,000 per microliter of blood. The reference ranges for WBC count established by Mayo Medical Laboratories for infants from birth to 2 years are as follows:.

• Birth: 9.0 to 30.0 x 10 9 /L.

• 1 to 7 days: 9.4 to 34.0 x 10 9 /L.

• 8 to 14 days: 5.0 to 21.0 x 10 9 /L.

• 15 days to 1 month: 5.0 to 20.0 x 10 9 /L.

• 2 to 5 months: 5.0 to 15.0 x 10 9 /L. Therefore, a newborn's WBC of 15,000 is within the normal range and does not indicate any problem.

Choice B reason:

You must call the doctor. This is not a correct answer because there is no need to call the doctor for a normal WBC in a newborn. Calling the doctor unnecessarily may cause anxiety and a waste of time and resources.

Choice C reason:

This indicates a severe infection. This is not a correct answer because a WBC of 15,000 does not necessarily indicate a severe infection in a newborn. A high WBC, also called leukocytosis, may be related to infection, but it can also be caused by other factors such as stress, inflammation, trauma, medication, or blood disorders. Moreover, the type and severity of infection can be better assessed by looking at the differential count of the different types of white blood cells (neutrophils, eosinophils, basophils, monocytes, and lymphocytes) and other signs and symptoms.

Choice D reason:

This is a lab error. This is not a correct answer because a WBC of 15,000 is not likely to be a lab error in a newborn. Lab errors can occur due to improper collection, handling, or analysis of blood samples, but they are rare and usually detected by quality control measures. A WBC of 15,000 is within the normal range for a newborn and does not require repeating the test unless there is a strong suspicion of an error or an inconsistency with other results or clinical findings.

A. The Bradley method teaches the labor partner how to coach and support the mother during labor. B. The Bradley method teaches the mother and partner about the variety of methods to control pain. C. The Bradley method prepares the woman to deliver without medical interventions and medications. D. The Bradley method focuses on muscle control because muscle tension increases the pain of labor. E. The Bradley method is the most widely used method in the US.

Correct Answer is ["A","C"]

No explanation

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A nurse is assisting with the care of a newborn immediately following birth. Which of the following medications should the nurse expect to administer? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse notes that a newborn's white blood cell count (WBC) is 15,000. The nurse is aware that:.

Correct Answer is A

Explanation

Correct Answer is ["A","C"]

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