A nurse is caring for a client who asks why her newborn is receiving a phytonadione injection. Which of the following statements should the nurse make?
This medication prevents your baby from developing bleeding problems."
"This medication enhances regulation of your baby's temperature."
"This medication enhances your baby's immune response."
"This medication prevents your baby from developing jaundice
The Correct Answer is A
Choice A Reason:
"This medication prevents your baby from developing bleeding problems." This is the correct statement. Phytonadione is given to newborns to prevent neonatal vitamin K deficiency bleeding (VKDB), which can lead to serious bleeding problems, including intracranial hemorrhage.
Choice B Reason:
"This medication enhances regulation of your baby's temperature." Phytonadione does not have any direct impact on the regulation of a baby's temperature. Its primary purpose is to prevent bleeding issues.
Choice C Reason:
"This medication enhances your baby's immune response. Phytonadione does not enhance a baby's immune response. It primarily addresses vitamin K deficiency and associated bleeding risks.
Choice D Reason:
"This medication prevents your baby from developing jaundice." Phytonadione is not used to prevent jaundice. Jaundice is typically related to bilirubin levels and is managed separately from vitamin K supplementation.

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Related Questions
Correct Answer is D
Explanation
After a tonic-clonic seizure, the nurse should first check the child for any injuries, particularly in the oral cavity. This is because during a seizure, the child's tongue may have been biten, or there may be other oral injuries. Therefore, it is essential to check the oral cavity for any injury or bleeding.

Correct Answer is B
Explanation
Choice A Reason:
"I will notify my provider if my baby sleeps more than 10 hours per day." This statement is not in line with normal newborn sleep patterns. Newborns typically sleep for longer durations and wake up for feedings. It's essential for parents to follow their provider's guidance on feeding and sleep schedules.
Choice B Reason:
"I will place my baby on his back for sleeping." This statement indicates an understanding of safe sleep practices for newborns. Placing a baby on their back for sleep is recommended to reduce the risk of sudden infant death syndrome (SIDS).
Choice C Reason:
"I will change my baby's diaper every 4 hours." While it's important to change a baby's diaper regularly, the frequency of diaper changes may vary depending on the baby's needs. Diapers should be changed when wet or soiled, not necessarily on a strict time schedule.
Choice D Reason:
"I will limit my baby's feedings so he does not become overweight." It is not advisable to limit a newborn's feedings for concerns about becoming overweight. Newborns need to feed frequently to meet their nutritional needs and support healthy growth and development. Parents should follow their healthcare provider's guidance on feeding and monitor the baby's growth and weight appropriately.
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