A nurse is caring for a newborn following delivery.
Which of the following actions should the nurse take first?
Apply prophylactic eye ointment.
Administer vitamin K.
Obtain the newborn's weight.
Apply identification bands to the newborn.
The Correct Answer is D
The first action the nurse should take is to apply identification bands to the newborn (choice D).
This is an important step in ensuring the safety and security of the newborn and helps to prevent errors such as misidentification.
Choices A, B, and C are also important actions that should be taken when caring for a newborn following delivery.
However, applying prophylactic eye ointment (choice A), administering vitamin K (choice B), and obtaining the newborn’s weight (choice C) can be done after the identification bands have been applied.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The nurse should monitor for chorioamnionitis, which is an infection of the amniotic sac and fluid.
The other choices are not potential complications of gonorrhea:
B. Vaginal laceration during birth is not a complication of gonorrhea.
C. Oligohydramnios is not a complication of gonorrhea.
D. Excessive bleeding after birth is not a complication of gonorrhea.
Correct Answer is B
Explanation
A client who is 80% effaced and 8 cm dilated is in active labor and at risk for postpartum hemorrhage.
Choice A is not an answer because ectopic pregnancy occurs when a fertilized egg implants outside of the uterus and is not a risk for a client who is in active labor.
Choice C is not an answer because an incompetent cervix refers to a cervix that dilates prematurely during pregnancy and is not a risk for a client who is in active labor.
Choice D is not an answer because hyperemesis gravidarum refers to severe nausea and vomiting during pregnancy and is not a risk for a client who is in active labor.
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